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Organization

EAST ALABAMA PLASTIC SURGERY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RALPH L AQUADRO III M.D. (LLC MEMBER)
(334) 321-4989
Entity
Organization

Contact information

Practice address
778 N DEAN RD, SUITE 400, AUBURN, AL 36830-4312
(334) 321-4989
Mailing address
778 N DEAN RD, SUITE 400, AUBURN, AL 36830-4312
(334) 321-4989

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD.31455
AL

Other

Enumeration date
06/24/2012
Last updated
06/24/2012
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