Organization
COSMETIC CENTER OF EVANSVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS S HASTETTER M.D. (OWNER)
(812) 476-6161
Entity
Organization
Contact information
Practice address
7145 E VIRGINIA ST, SUITE 2000, EVANSVILLE, IN 47715-9144
(812) 476-6161
Mailing address
7145 E VIRGINIA ST, SUITE 2000, EVANSVILLE, IN 47715-9144
(812) 476-6161
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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