NPI | 1780873356 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN B. SLAYBACK President 909-793-3760 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA A21757) |
Enumeration Date | 2007-10-19 |
Last Update Date | 2007-10-19 |