| NPI | 1942384995 |
|---|---|
| Former Legal Business Name | COSMETIC & RECONSTRUCTIVE PLASTIC SURGERY, PLLC |
| Entity Type | Organization |
| Authorized Contact | STEPHEN B MILLER Owner 304-399-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2013-05-10 |