| NPI | 1447528930 |
|---|---|
| Doing Business As | CCOC - CRYSTAL PLASTIC SURGEONS |
| Entity Type | Organization |
| Authorized Contact | DANIEL J FERRY President/CEO 330-670-4152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2021-10-13 |