Organization
WEST CENTRAL OHIO AESTHETIC & RECONSTRUCTIVE SURGERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES ALAN SLABY M.D. (PRESIDENT)
(419) 996-5645
Entity
Organization
Contact information
Practice address
1800 E 5TH ST, SUITE #2, DELPHOS, OH 45833-9139
(419) 996-5645
(419) 996-5458
Mailing address
PO BOX 748, LIMA, OH 45802-0748
(419) 996-5645
(419) 996-5458
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
35062878
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000168747
ANTHEM BCBS
OH
01
—
1518012244
ANTHEM BCBS
OH
05
—
2061647
—
OH
01
—
22000000168747
ANTHEM BCBS
OH
Enumeration date
01/24/2007
Last updated
04/20/2008
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