Organization
GARRISON PLASTIC SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLA GARRISON KESTER M.D (OWNER/PHYSICIAN)
(417) 877-0630
Entity
Organization
Contact information
Practice address
1530 E. BRADFORD PARKWAY, SPRINGFIELD, MO 65804
(417) 877-0630
Mailing address
1530 E. BRADFORD PARKWAY, SPRINGFIELD, MO 65804
(417) 877-0630
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
36789
MO
Other
Enumeration date
04/09/2009
Last updated
04/13/2009
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