Organization
EAGLE VIEW PLASTIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
S. RANDOLPH WALDMAN MD (OWNER)
(859) 254-5665
Entity
Organization
Contact information
Practice address
3288 EAGLE VIEW LN, SUITE 300, LEXINGTON, KY 40509-9020
(859) 254-5665
(859) 281-6825
Mailing address
3288 EAGLE VIEW LN, SUITE 300, LEXINGTON, KY 40509-9020
(859) 254-5665
(859) 281-6825
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
06/23/2015
Last updated
06/23/2015
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