| NPI | 1851787691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYSON RICHARDS Director/President 702-870-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NV 15319) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2015-04-08 |