Organization
WATERFORD PLASTIC SURGERY CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN M JONES MD (PRESIDENT)
(405) 848-3459
Entity
Organization
Contact information
Practice address
6305 WATERFORD BLVD STE 115, OKLAHOMA CITY, OK 73118-1116
(405) 848-3459
(405) 848-5401
Mailing address
6305 WATERFORD BLVD STE 115, OKLAHOMA CITY, OK 73118-1116
(405) 848-3459
(405) 848-5401
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
22456
OK
Other
Enumeration date
09/29/2006
Last updated
12/03/2007
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