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RENEW COSMETIC AND RECONSTRUCTIVE SURGERY PC NPI 1578732848


NPI Information

NPI: 1578732848
Provider Name: RENEW COSMETIC AND RECONSTRUCTIVE SURGERY, PC
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
116 E 11TH ST
SUITE 203
SPENCER, IA
ZIP 51301
Phone: (877) 264-8394
Get Directions

RENEW COSMETIC AND RECONSTRUCTIVE SURGERY, PC is a plastic and reconstructive surgery surgery in Spencer, IA. The provider is a surgeon who specializes in plastic and reconstructive surgery. RENEW COSMETIC AND RECONSTRUCTIVE SURGERY, PC NPI is 1578732848. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

116 E 11TH ST
SUITE 203
SPENCER, IA
ZIP 51301-364
Phone: (877) 264-8394
Fax: (712) 264-8391

The provider's authorized official is Lois J Morris .
The authorized official title is Chief Financial Officer and has the following contact phone number (712) 264-6437.

The enumeration date for this NPI number is 2/21/2008 and was last updated on 2/18/2009.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0122XSurgeryPlastic and Reconstructive SurgeryYes

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: 5/5/2024

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