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Organization
COSMETIC & RECONSTRUCTIVE SURGERY CENTER
Active
Organization
COSMETIC & RECONSTRUCTIVE SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA L PERSONS M.D. (PRESIDENT)
(925) 283-8811
Entity
Organization
Contact information
Practice address
911 MORAGA RD, SUITE 205, LAFAYETTE, CA 94549-4579
(925) 283-8811
(925) 283-8812
Mailing address
911 MORAGA RD, SUITE 205, LAFAYETTE, CA 94549-4579
(925) 283-8811
(925) 283-8812
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/03/2011
Last updated
06/03/2011
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