| NPI | 1659327245 |
|---|---|
| Other Name | COSMETIC & RECONSTRUCTIVE SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | MATTHEW HARRIS CONRAD Physician 316-681-2227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: KS 0429556) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2014-12-11 |