NPI 1700065679

Plastic Reconstructive Surgery Associates LLC

Organisation Plastic Surgery Physician Columbus, OH

Practice location

Address: 1151 Bethel Rd STE 101, Columbus, OH 43220-2775
Phone: (614) 457-7772
Fax: (614) 326-2639

Authorised official

Name: Kim Valenzuela Sammons
Title: Medical Coder/Biller
Phone: (419) 756-1125

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 34005536 (OH)

Other Plastic Surgery providers in Ohio →

Registry record

NPI: 1700065679
Entity type: Organization
NPI issued: 29 Oct 2007
Record last updated: 22 Oct 2012

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.