NPI 1811284433

Ivan Nicolas Vial, MD

Practitioner Plastic Surgery Physician Bend, OR

Practice location

Address: 2450 NE Mary Rose Pl STE 201, Bend, OR 97701-7133
Phone: (541) 317-0808
Mailing address: 2450 NE Mary Rose Pl STE 201, Bend, OR 97701

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence MD180009 (OR)

Other Plastic Surgery providers in Oregon →

Registry record

NPI: 1811284433
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Jul 2011
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.