Organization
BODY SPECTRUM PLASTIC SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE R BARTON M.D. (PLASTIC SURGEON)
(859) 224-1235
Entity
Organization
Contact information
Practice address
2414 GREATSTONE PT, LEXINGTON, KY 40504-3274
(859) 224-1235
(859) 224-2382
Mailing address
2414 GREATSTONE PT, LEXINGTON, KY 40504-3274
(859) 224-1235
(859) 224-2382
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25491
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000320800
ANTHEM BC/BS
KY
05
—
64254915
—
KY
Enumeration date
12/12/2007
Last updated
05/20/2008
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