| NPI | 1366951618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN RICHARD BARBOUR President And Cmo 703-728-3693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: VA 010125284) |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2018-03-17 |