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 |