| NPI | 1972768109 |
|---|---|
| Doing Business As | MANCOLL COSMETIC & PLASTIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | JOHN S MANCOLL President 757-305-9185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2025-02-13 |