| NPI | 1447610803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM P ANGELES Authorized Official 541-784-7848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: OR MD26066) |
| Enumeration Date | 2016-02-28 |
| Last Update Date | 2023-12-05 |