# PLASTIC SURGERY & WEIGHT LOSS CNTR

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

## Provider details

- **NPI number:** 1699961193
- **Authorized official:** DR. MARIAN W STEWART DO (OFFICER)
- **Authorized official phone:** (417) 239-0079

## Contact information

- **Practice address:** 10994 HISTORIC HIGHWAY 165 STE D, HOLLISTER, MO 65672-5606
- **Practice address phone:** (417) 239-0079
- **Practice address fax:** (417) 239-1228
- **Mailing address:** PO BOX 8781, SPRINGFIELD, MO 65801-8781
- **Mailing address phone:** (417) 239-0079
- **Mailing address fax:** (417) 239-1228

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 101644 | MO | Yes |

## Other

- **Enumeration date:** 09/18/2007
- **Last updated:** 04/16/2013