# CHESNUT INSTITUTE OF COSMETIC & RECONSTRUCTIVE SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063935286
- **Authorized official:** DR. CAMERON CHESNUT MD (PRESIDENT / OWNER)
- **Authorized official phone:** (208) 640-1488

## Contact information

- **Practice address:** 510 S COWLEY ST, SPOKANE, WA 99202-1332
- **Practice address phone:** (208) 640-1488
- **Mailing address:** 510 S COWLEY ST, SPOKANE, WA 99202-1332
- **Mailing address phone:** (208) 640-1488

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207N00000X | Dermatology Physician | — | NULL | — |
| 207N00000X | Dermatology Physician | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/19/2017
- **Last updated:** 02/28/2024