| NPI | 1609958057 |
|---|---|
| Other Name | PLASTIC SURGERY OFFICE |
| Entity Type | Organization |
| Authorized Contact | OTIS W BLACKWOOD Practice Administrator 540-772-5992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |