| NPI | 1841610169 |
|---|---|
| Doing Business As | PLASTIC & RECONSTRUCTIVE SURGEONS |
| Entity Type | Organization |
| Authorized Contact | LAURA KLEISLE Chief Risk Officer 206-838-2590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: WA 601484763) |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2022-07-28 |