OHIO CENTER OF COSMETIC & LASER SURGERY NPI 1740386424

NPI Information

OHIO CENTER OF COSMETIC & LASER SURGERY is an ambulatory surgical clinic center in Bellefontaine, OH. OHIO CENTER OF COSMETIC & LASER SURGERY NPI is 1740386424. The provider is registered as an organization entity type.

The provider's business location address is:

921 E SANDUSKY AVE
BELLEFONTAINE, OH
ZIP 43311
Phone: (937) 592-3277
Fax: (937) 592-3753

The provider's authorized official is David T Ryu .
The authorized official title is Medical Director and has the following contact phone number (937) 592-3277.

The enumeration date for this NPI number is 9/16/2006 and was last updated on 7/22/2008.

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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