NPI | 1841475803 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY LYLE GALLAGHER Manager/Member 417-283-1845 |
Organization Subpart ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: OR MD21961) |
Enumeration Date | 2008-01-08 |
Last Update Date | 2020-01-02 |