Organization
DR SHAPE USA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRE DESOUZA MD (PRESIDENT)
(304) 422-2940
Entity
Organization
Contact information
Practice address
3113 MURDOCH AVE, PARKERSBURG, WV 26101-1018
(304) 422-2940
Mailing address
3113 MURDOCH AVE, PARKERSBURG, WV 26101-1018
(304) 422-2940
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
18860
WV
208600000X
Surgery Physician
Primary
18860
WV
Other
Enumeration date
10/21/2013
Last updated
10/21/2013
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