| NPI | 1861133811 |
|---|---|
| Doing Business As | VALLEY HEALTH PLASTIC AND RECONSTRUCTIVE SURGERY |
| Entity Type | Organization |
| Authorized Contact | RENEE NEVADA JOHNSON Credentialing Coordinator 540-536-5100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2022-04-05 |