Organization
OSAGE VALLEY PLASTIC SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID B HUANG M.D. (OWNER/OPERATOR)
(573) 348-4863
Entity
Organization
Contact information
Practice address
985 EXECUTIVE DR, OSAGE BEACH, MO 65065-3496
(573) 348-4863
(573) 348-4965
Mailing address
985 EXECUTIVE DR, OSAGE BEACH, MO 65065-3496
(573) 348-4863
(573) 348-4965
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MO109950
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204838908
—
MO
Enumeration date
04/11/2012
Last updated
04/11/2012
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