| NPI | 1487345161 |
|---|---|
| Doing Business As | 22 PLASTIC SURGERY, LLC |
| Entity Type | Organization |
| Authorized Contact | BRIAN REUBEN CEO 801-647-5522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2023-10-05 |