NPI | 1689965956 |
---|---|
Entity Type | Organization |
Authorized Contact | PHILIP RODRIGUEZ President 306-858-3096 |
Organization Subpart ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL 38936500128250) |
Enumeration Date | 2011-04-21 |
Last Update Date | 2011-04-21 |