Organization
PLASTIC SURGERY ASSOCIATES PA
Active
Parent organization
PLASTIC SURGERY ASSOCIATES PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
PLASTIC SURGERY ASSOCIATES PA
Authorized official
SYLVIANA CRAWFORD (OFFICE ADMINISTRATOR)
(682) 200-8580
Entity
Organization
Contact information
Practice address
915 HIGHLAND BLVD STE 4500, BOZEMAN, MT 59715-6902
(682) 200-8580
(682) 200-8581
Mailing address
1250 8TH AVE STE 265, FORT WORTH, TX 76104-4125
(682) 200-8580
(682) 200-8581
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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