| NPI | 1538128483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALLENE A MARAGH President 804-257-7195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2014-02-19 |