| NPI | 1457071060 |
|---|---|
| Doing Business As | ECOSSE PLASTIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE LEIGHANN KOONCE Manager/Owner 479-719-0862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Additional Taxonomies | 208200000X Plastic Surgery |
| 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck | |
| Enumeration Date | 2022-09-01 |
| Last Update Date | 2023-10-10 |