Organization
THE PLASTIC SURGERY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE GANDER (OFFICE MANAGER)
(513) 791-4440
Entity
Organization
Contact information
Practice address
340 THOMAS MORE PKWY, SUITE 100, CRESTVIEW HILLS, KY 41017-5100
(859) 331-8777
(859) 344-3263
Mailing address
340 THOMAS MORE PKWY, SUITE 100, CRESTVIEW HILLS, KY 41017-5100
(859) 331-8777
(859) 344-3263
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0167877
—
OH
Enumeration date
04/20/2007
Last updated
08/22/2020
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