Cascade Facial Surgery And Aesthetics

NPI 1124458583 - Plastic Surgery - 2082S0099X

NPI Details
NPI 1124458583
Enumeration Date 11/22/2013
Last Updated 11/22/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name JONATHAN REAGAN JONATHAN
Position OWNER
Phone (425) 205-1305
Fax
Practice Location
111 S 12TH ST
SUITE A
MOUNT VERNON WA, 98274-4000, US
Phone (425) 205-1305
Fax
Business Location
111 S 12TH ST
SUITE A
MOUNT VERNON WA, 98274-4000, US
Phone (425) 205-1305
Fax
Toxanomy
Taxonomy Code 2082S0099X
License State Washington
License Number MD60187241
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According to our database, Cascade Facial Surgery And Aesthetics NPI is 1124458583, taxonomy code is 2082S0099X and license number is MD60187241, license state is located at Washington. Cascade Facial Surgery And Aesthetics physically located at 111 S 12th St, Mount Vernon WA, 98274-4000. NPI Number 1033115704 has the healthcare provider type.

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1124458583 NPI number is provided on an as is basis without warranty of any kind. 1124458583 is maintained by the National Plan & Provider Enumeration System. The contents of Cascade Facial Surgery And Aesthetics are for informational purposes only.