WOODBURY PLASTIC SURGERY PA NPI 1225151418

NPI Information

WOODBURY PLASTIC SURGERY PA is a medical specialty clinic center in Woodbury, MN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). WOODBURY PLASTIC SURGERY PA NPI is 1225151418. The provider is registered as an organization entity type.
The provider Other Name Is David Thao Plastic Surgery.

The provider's business location address is:

604 BIELENBERG DR
STE 250
WOODBURY, MN
ZIP 55125-414
Phone: (651) 730-4100
Fax: (651) 730-4107

The provider's authorized official is Malay L Thao .
The authorized official title is Office Manager and has the following contact phone number (651) 730-4100.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 12/14/2012.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.