NPI 1104145077

Aesthetic & Reconstructive Surgery PC

Organisation Specialist Omaha, NE

Practice location

Address: 2727 S 144th St STE 205, Omaha, NE 68144-5230
Phone: (402) 778-5555
Fax: (402) 778-5550

Authorised official

Name: Chester Quay Thompson
Title: President
Phone: (402) 778-5555

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 11216 (NE)

Other Specialist providers in Nebraska →

Registry record

NPI: 1104145077
Entity type: Organization
NPI issued: 18 May 2010
Record last updated: 18 May 2010

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.