| NPI | 1619763075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAILEY HAYCOX Executive Assistant 703-972-6655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand |
| Enumeration Date | 2025-04-15 |
| Last Update Date | 2025-04-15 |