| NPI | 1760703201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON DOUGLAS SMITH President 520-370-7660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CO 48708) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2012-08-13 |