| NPI | 1942400338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DAVID ROSDEUTSCHER President 615-467-3977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: TN 30390) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-08-14 |