# GARRISON PLASTIC SURGERY, LLC

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

## Provider details

- **NPI number:** 1811130602
- **Authorized official:** DR. CARLA GARRISON KESTER M.D (OWNER/PHYSICIAN)
- **Authorized official phone:** (417) 877-0630

## Contact information

- **Practice address:** 1530 E. BRADFORD PARKWAY, SPRINGFIELD, MO 65804
- **Practice address phone:** (417) 877-0630
- **Mailing address:** 1530 E. BRADFORD PARKWAY, SPRINGFIELD, MO 65804
- **Mailing address phone:** (417) 877-0630

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 36789 | MO | Yes |

## Other

- **Enumeration date:** 04/09/2009
- **Last updated:** 04/13/2009