Aesthetic & Reconstructive Surgery Pc

NPI 1104145077 - Specialist - 174400000X

NPI Details
NPI 1104145077
Enumeration Date 05/18/2010
Last Updated 05/18/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name CHESTER QUAY CHESTER
Position PRESIDENT
Phone (402) 778-5555
Fax (402) 778-5550
Practice Location
2727 S 144TH ST STE 205
OMAHA NE, 68144-5230, US
Phone (402) 778-5555
Fax (402) 778-5550
Business Location
2727 S 144TH ST STE 205
OMAHA NE, 68144-5230, US
Phone (402) 778-5555
Fax (402) 778-5550
Toxanomy
Taxonomy Code 174400000X
License State Nebraska
License Number 11216
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According to our database, Aesthetic & Reconstructive Surgery Pc NPI is 1104145077, taxonomy code is 174400000X and license number is 11216, license state is located at Nebraska. Aesthetic & Reconstructive Surgery Pc physically located at 2727 S 144th St Ste 205, Omaha NE, 68144-5230. NPI Number 1033115704 has the healthcare provider type.

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1104145077 NPI number is provided on an as is basis without warranty of any kind. 1104145077 is maintained by the National Plan & Provider Enumeration System. The contents of Aesthetic & Reconstructive Surgery Pc are for informational purposes only.