Plastic And Reconstructive Surgery

NPI 1043249972 - Clinic/Center - 261QA1903X

NPI Details
NPI 1043249972
Enumeration Date 07/02/2006
Last Updated 05/09/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JUDI JUDI
Position ADMINISTRATOR
Phone (925) 462-3700
Fax (925) 462-4681
Practice Location
1387 SANTA RITA RD
PLEASANTON CA, 94566-5643, US
Phone (925) 462-3700
Fax (925) 462-4681
Business Location
1387 SANTA RITA RD
PLEASANTON CA, 94566-5643, US
Phone (925) 462-3700
Fax (925) 462-4681
Toxanomy
Taxonomy Code 261QA1903X
License State California
License Number 140000491
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According to our database, Plastic And Reconstructive Surgery NPI is 1043249972, taxonomy code is 261QA1903X and license number is 140000491, license state is located at California. Plastic And Reconstructive Surgery physically located at 1387 Santa Rita Rd, Pleasanton CA, 94566-5643. NPI Number 1033115704 has the healthcare provider type.

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1043249972 NPI number is provided on an as is basis without warranty of any kind. 1043249972 is maintained by the National Plan & Provider Enumeration System. The contents of Plastic And Reconstructive Surgery are for informational purposes only.