| NPI | 1508999822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD FREDERICK CARVER Plastic Surgeon 1605-343-0495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: SD 3560) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |