NPI 1063921260
Lift Aesthetic Surgery
Practice location
- Address
- 4700 Nicole CT, Missoula, MT 59803-2792
- Phone
- (215) 990-1851
Authorised official
- Name
- Ryan Philip Marshall
- Title
- Surgeon/Owner
- Phone
- (215) 990-1851
Registered specialties
Plastic Surgery Physician
Primary
Registry record
- NPI
- 1063921260
- Entity type
- Organization
- NPI issued
- 20 Sep 2017
- Record last updated
- 21 Jul 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.