NPI | 1609896521 |
---|---|
Doing Business As | NEVADA CENTRE EYE PLASTIC SURGERY |
Entity Type | Organization |
Authorized Contact | PERRY MIMS WAGGONER President 775-322-3311 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: NV MD7268) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: NV MD7268) |
Enumeration Date | 2006-07-21 |
Last Update Date | 2020-08-22 |