NPI 1386654879

Bastug Plastic Surgery PC

Organisation Specialist Waterloo, IA

Practice location

Address: 2710 Saint Francis Dr Suite 419, Waterloo, IA 50702-5619
Phone: (319) 272-8550
Fax: (319) 272-8558
Mailing address: 2710 Saint Francis Dr Suite 419, Waterloo, IA 50702-5634

Authorised official

Name: Deniz F Bastug
Title: President
Phone: (319) 272-8550

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 32236 (IA)

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Registry record

NPI: 1386654879
Entity type: Organization
NPI issued: 8 Aug 2006
Record last updated: 14 Oct 2011

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.