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PLASTIC AND RECONSTRUCTIVE SURGERY OF MID-MISSOURI INC NPI 1063739159


NPI Information

NPI: 1063739159
Provider Name: PLASTIC AND RECONSTRUCTIVE SURGERY OF MID-MISSOURI, INC
Classification: Plastic Surgery - 208200000X
Entity Type: Organization
Address:
1701 E BROADWAY
SUITE 304
COLUMBIA, MO
ZIP 65201
Phone: (573) 876-1700
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PLASTIC AND RECONSTRUCTIVE SURGERY OF MID-MISSOURI, INC is a plastic surgery in Columbia, MO. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. PLASTIC AND RECONSTRUCTIVE SURGERY OF MID-MISSOURI, INC NPI is 1063739159. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1701 E BROADWAY
SUITE 304
COLUMBIA, MO
ZIP 65201-018
Phone: (573) 876-1700
Fax: (573) 876-1705

The provider's authorized official is Richard Royer .
The authorized official title is Administrator and has the following contact phone number (573) 777-1191.

The enumeration date for this NPI number is 4/28/2010 and was last updated on 4/28/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208200000XPlastic SurgeryR5577MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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