| NPI | 1619431186 |
|---|---|
| Former Legal Business Name | ELIZABETH BOHNENBLUST CLANTON, MD, PA |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH B. CLANTON Owner 210-460-7632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2024-05-16 |