NPI 1073516308

Paula Jean Formosa, MD

Practitioner Plastic Surgery Physician Dakota Dunes, SD

Practice location

Address: 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312
Phone: (605) 217-2667
Fax: (605) 217-2900

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 5141 (SD)

Other Plastic Surgery providers in South Dakota →

Registry record

NPI: 1073516308
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 May 2005
Record last updated: 5 Aug 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.