| NPI | 1679510861 |
|---|---|
| Doing Business As | CENTER FOR PLASTICS & RESTORATIVE SURGERY |
| Entity Type | Organization |
| Authorized Contact | BRENT VAN CONIA President 573-761-7000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2007-12-13 |