NPI | 1467878181 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY MILLER Credentialing Specialist 785-505-2988 |
Organization Subpart ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: KS 0429112) |
Enumeration Date | 2014-03-06 |
Last Update Date | 2014-03-19 |