| NPI | 1912577735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN OLIVER President 877-885-0588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery | |
| Enumeration Date | 2021-06-25 |
| Last Update Date | 2021-06-28 |