Organization
ADVANCED PLASTIC SURGERY OF TERRE HAUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH WASHINGTON (VICE PRESIDENT)
(703) 650-2907
Entity
Organization
Contact information
Practice address
100 E HALT DR, TERRE HAUTE, IN 47802-4210
(812) 232-2100
(812) 232-1980
Mailing address
100 E HALT DR, TERRE HAUTE, IN 47802-4210
(812) 232-2100
(812) 232-1980
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
03/13/2008
Last updated
12/11/2008
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