NPI | 1861133811 |
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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 |