| NPI | 1962076984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY F WILKINSON Pe Manager 717-231-8038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery |
| Additional Taxonomies | 208200000X Plastic Surgery |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2023-11-17 |