SOUTHWEST VIRGINIA CENTER FOR COSMETIC PLASTIC & RECON SURGERY

ROANOKE, VA
NPI1609958776
Entity TypeOrganization
Authorized ContactMICHAEL J BREINER
President
540-989-6361
Organization Subpart ?No
Primary Taxonomy208200000X Plastic Surgery
(Licence: VA  0101050226)
Additional Taxonomies174400000X Specialist
(Licence: VA  0101050226)
Enumeration Date2006-10-19
Last Update Date2011-04-11
Business Address
SOUTHWEST VIRGINIA CENTER FOR COSMETIC PLASTIC & RECON SURGERY
2965 COLONNADE DRIVE SUITE 140
ROANOKE, VA 24018-3541
Phone number: 540-989-6361
Mailing Address
SOUTHWEST VIRGINIA CENTER FOR COSMETIC PLASTIC & RECON SURGERY
2965 COLONNADE DRIVE SUITE 140
ROANOKE, VA 24018-3541
Phone number: 540-989-6361