Organization
OHIO PLASTIC AND RECONSTRUCTIVE SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN POTEET MD (OWNER)
(615) 818-5580
Entity
Organization
Contact information
Practice address
112 MOREY DR, MARYSVILLE, OH 43040-1646
(615) 818-5580
Mailing address
112 MOREY DR, MARYSVILLE, OH 43040-1646
(615) 818-5580
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
06/08/2021
Last updated
09/13/2021
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