| 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 |