# AESTHETIC & RECONSTRUCTIVE SURGERY PC

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

## Provider details

- **NPI number:** 1104145077
- **Authorized official:** DR. CHESTER QUAY THOMPSON JR. M.D. (PRESIDENT)
- **Authorized official phone:** (402) 778-5555

## Contact information

- **Practice address:** 2727 S 144TH ST STE 205, OMAHA, NE 68144-5230
- **Practice address phone:** (402) 778-5555
- **Practice address fax:** (402) 778-5550
- **Mailing address:** 2727 S 144TH ST STE 205, OMAHA, NE 68144-5230
- **Mailing address phone:** (402) 778-5555
- **Mailing address fax:** (402) 778-5550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 11216 | NE | Yes |

## Other

- **Enumeration date:** 05/18/2010
- **Last updated:** 05/18/2010