| NPI | 1821741323 |
|---|---|
| Doing Business As | CUTLER PECK OCULOFACIAL PLASTIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | CAROLEE MARIE CUTLER PECK Owner 208-201-1817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2022-02-03 |
| Last Update Date | 2023-04-18 |