| NPI | 1962743013 |
|---|---|
| Doing Business As | MIKO PLASTIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | STEVUNI HARRISON Billing Manager 909-833-5852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2013-08-05 |