NPI | 1467120592 |
---|---|
Doing Business As | KUNKEL PLASTIC SURGERY LLC |
Entity Type | Organization |
Authorized Contact | RYAN KUNKEL Physician 505-299-4900 |
Organization Subpart ? | No |
Primary Taxonomy | 208200000X Plastic Surgery |
Enumeration Date | 2021-09-02 |
Last Update Date | 2021-09-09 |