| NPI | 1386966364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA K COLE President 888-597-1115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: AK 5635) |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2010-02-18 |