NPI | 1710072871 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN A PIERCE President 520-293-7077 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: AZ 7690) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2010-09-16 |