NPI 1639614951
Invmd Plastic Surgery LLC
Practice location
- Address
- 2450 NE Mary Rose Pl STE 200, Bend, OR 97701-7132
- Phone
- (541) 317-0808
- Fax
- (541) 317-3585
- Mailing address
- 2450 NE Mary Rose Pl STE 201, Bend, OR 97701
Authorised official
- Name
- Ivan Nicolas Vial
- Title
- Sole Member
- Phone
- (541) 317-0808
Registered specialties
Plastic Surgery Physician
Primary
Registry record
- NPI
- 1639614951
- Entity type
- Organization
- NPI issued
- 21 Dec 2016
- Record last updated
- 11 Jun 2019
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.