NPI | 1902228737 |
---|---|
Doing Business As | FREEMAN PLASTIC SURGERY |
Entity Type | Organization |
Authorized Contact | MARK E FREEMAN President 208-881-5351 |
Organization Subpart ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: ID M10224) |
Enumeration Date | 2014-01-14 |
Last Update Date | 2014-01-14 |