| NPI | 1619201530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYANT VOTH Director Of Operations 225-399-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: LA MD.025994) |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2018-03-17 |