Organization
PLASTIC SURGERY SPECIALISTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY PRUETT (ADMINISTRATOR)
(415) 925-2880
Entity
Organization
Contact information
Practice address
350 BON AIR RD, SUITE 300, GREENBRAE, CA 94904-1752
(415) 925-2880
(415) 925-2884
Mailing address
350 BON AIR RD, SUITE 300, GREENBRAE, CA 94904-1752
(415) 925-2880
(415) 925-2884
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/24/2008
Last updated
04/20/2010
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