Organization
PLASTIC SURGERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA BISHOP (OFFICE MANAGER)
(304) 242-0590
Entity
Organization
Contact information
Practice address
40 MEDICAL PARK, SUITE 200, WHEELING, WV 26003-6392
(304) 242-0590
(304) 242-9740
Mailing address
40 MEDICAL PARK, SUITE 200, WHEELING, WV 26003-6392
(304) 242-0590
(304) 242-9740
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA0252
RAILROAD MEDICARE
OH
01
—
CA0252
RAILROAD MEDICARE
WV
Enumeration date
09/16/2005
Last updated
11/02/2007
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