Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Plastic and Reconstructive Surgery |
2086S0122X | 02 | Physician/General Surgery |
| NPI # | 1124715032 |
| LBN Legal business name | GILSON PLASTIC SURGERY LLC |
| Authorized official | AARON GILSON - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/20/2023 |
| Last updated | 04/20/2023 - About 3 years ago |
| Identifiers | n/a |
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