Osage Valley Plastic Surgery Pc

NPI 1245596501 - Specialist - 174400000X

NPI Details
NPI 1245596501
Enumeration Date 04/11/2012
Last Updated 04/11/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name DAVID B DAVID
Position OWNER/OPERATOR
Phone (573) 348-4863
Fax (573) 348-4965
Practice Location
985 EXECUTIVE DR
OSAGE BEACH MO, 65065-3496, US
Phone (573) 348-4863
Fax (573) 348-4965
Business Location
985 EXECUTIVE DR
OSAGE BEACH MO, 65065-3496, US
Phone (573) 348-4863
Fax (573) 348-4965
Toxanomy
Taxonomy Code 174400000X
License State Missouri
License Number MO109950
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According to our database, Osage Valley Plastic Surgery Pc NPI is 1245596501, taxonomy code is 174400000X and license number is MO109950, license state is located at Missouri. Osage Valley Plastic Surgery Pc physically located at 985 Executive Dr, Osage Beach MO, 65065-3496. NPI Number 1033115704 has the healthcare provider type.

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1245596501 NPI number is provided on an as is basis without warranty of any kind. 1245596501 is maintained by the National Plan & Provider Enumeration System. The contents of Osage Valley Plastic Surgery Pc are for informational purposes only.