| NPI | 1770350282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM PETER ANGELES Medical Director 541-749-2282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2024-03-19 |