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Contact Information

PLASTIC SURGERY CENTER, P.C.
3385 DEXTER CT
SUITE 115
DAVENPORT, IA52807-3471
 Phone: 563-359-4777
 Fax: 563-359-4781
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for PLASTIC SURGERY CENTER, P.C.

NPI # 1356527477
LBN Legal business name PLASTIC SURGERY CENTER, P.C.
Authorized official JAMES PAUL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/18/2008
Last updated 02/01/2008 - About 18 years ago
Identifiers
IA License # 07454
IA License # 33897
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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