Organization
OH PLASTIC AND RECONSTRUCTIVE SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE OH MD, PHD, SCM (OWNER)
(206) 714-8021
Entity
Organization
Contact information
Practice address
602 27TH AVE E, SEATTLE, WA 98112
(206) 714-8021
Mailing address
602 27TH AVE E, SEATTLE, WA 98112-4737
(206) 714-8021
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
MD60470774
WA
2086S0105X
Surgery of the Hand (Surgery) Physician
MD60470774
WA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD60470774
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972980615
—
WA
Enumeration date
04/27/2018
Last updated
07/03/2018
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