| NPI | 1588965438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN CHARLES MCINTOSH Owner 425-420-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: WA 60123704) |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2022-07-21 |