| NPI | 1912037433 |
|---|---|
| Former Legal Business Name | MERCY BURN & PLASTIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | JOHN W. HUBERT President 314-251-1700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Additional Taxonomies | 208200000X Plastic Surgery |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2018-11-19 |