Organization
PLASTIC SURGERY CENTER OF VIRGINIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP E. GRUBBS MD (PRESIDENT)
(540) 951-3429
Entity
Organization
Contact information
Practice address
817 DAVIS ST, SUITE 2, BLACKSBURG, VA 24060-7013
(540) 951-8885
(540) 951-8887
Mailing address
817 DAVIS ST, SUITE 2, BLACKSBURG, VA 24060-7013
(540) 951-8885
(540) 951-8887
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
0101051261
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006900241
—
VA
Enumeration date
05/08/2006
Last updated
03/13/2014
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