| NPI | 1780018465 |
|---|---|
| Doing Business As | FACE AND BODY MEDICAL AESTHETICS AND COSMETIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | JENNIFER A CUSHMAN Office Manager 918-298-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OK 4362) |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2013-08-29 |