| NPI | 1548708522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN SKINNER Practice Administrator 870-333-2724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: AR E3008) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |