Plastic Surgery Center Of St Joseph, Inc

NPI Provider: 1508862996
Contact Name: De Priest D Michael
Position: Medical Director
Phone: (816) 364-6446

Plastic Surgery Center Of St Joseph, Inc Information:

Plastic Surgery Center Of St Joseph, Inc organization have npi 1508862996, taxonomy code is 261QA1903X with license number is 136-0 in . This Business address located in 2111 N Woodbine Rd, Saint Joseph, MO 64506 Missouri.

Practice Location
Address: 2111 N Woodbine Rd, Saint Joseph, MO 64506
Phone: (816) 364-6416

Business Location
Address: 2111 N Woodbine Rd, Saint Joseph, MO 64506
Phone: (816) 364-6416
Fax: (816) 364-5320

Taxonomy

Taxonomy Code: 261QA1903X

License Number: 136-0

License Number of State: MO

Primary Taxonomy Switch: Y

Enumeration Date: 6/22/2005

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