Organization
PLASTIC SURGERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA BISHOP (OFFICE MANAGER)
(304) 242-0590
Entity
Organization
Contact information
Practice address
222 N 5TH ST, SUITE 202, MARTINS FERRY, OH 43935-1582
(740) 633-6271
Mailing address
222 N 5TH ST, SUITE 202, MARTINS FERRY, OH 43935-1582
(740) 633-6271
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA0251
MEDICARE RAILROAD
OH
Enumeration date
07/06/2007
Last updated
02/06/2008
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