| NPI | 1942330477 |
|---|---|
| Former Legal Business Name | KIDS PLASTIC SURGERY, LLC |
| Entity Type | Organization |
| Authorized Contact | JOHN W. HUBERT President 314-251-1700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2014-05-02 |