AESTHETIC & RECONSTRUCTIVE SURGERY PC NPI 1104145077

NPI Information

AESTHETIC & RECONSTRUCTIVE SURGERY PC is a specialist in Omaha, NE. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. AESTHETIC & RECONSTRUCTIVE SURGERY PC NPI is 1104145077. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2727 S 144TH ST STE 205
OMAHA, NE
ZIP 68144-230
Phone: (402) 778-5555
Fax: (402) 778-5550

The provider's authorized official is Chester Quay Thompson .
The authorized official title is President and has the following contact phone number (402) 778-5555.

The enumeration date for this NPI number is 5/18/2010 and was last updated on 5/18/2010.

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:

Other Identifiers

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

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