| NPI | 1518258847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGO S HERRON Physician/Owner 541-708-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: OR MD153865) |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2023-02-16 |