| NPI | 1831862994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN OLIVER President 800-243-3839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology |
| 2088P0231X | |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2023-02-09 |