COSMETIC & RECONSTRUCTIVE SURGERY CENTER, PA is an ambulatory surgical clinic center in Wichita, KS. COSMETIC & RECONSTRUCTIVE SURGERY CENTER, PA NPI is 1659327245. The provider is registered as an organization entity type.
The provider Other Name Is Cosmetic & Reconstructive Surgery Center.
The provider's business location address is:
1700 N WATERFRONT PKWY
BUILDING 200
WICHITA, KS
ZIP 67206-614
Phone: (316) 681-2227
Fax: (316) 684-5250
The provider's authorized official is Matthew Harris Conrad .
The authorized official title is Physician and has the following contact phone number (316) 681-2227.
The CLIA number assigned to this NPI record is 17D1055450 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/25/2006 and was last updated on 12/11/2014.