| NPI | 1700065679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM VALENZUELA SAMMONS Medical Coder/Biller 419-756-1125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: OH 34005536) |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2012-10-22 |