Organization · Type 2 NPI
Iyengar Plastic Surgery PLLC
Plastic and Reconstructive Surgery Physician · Puyallup, WA
NPI number
1104668508
Active
Practice location
4210 10th St SE
Puyallup, WA 98374-2191
Mailing address
PO Box 731689
Puyallup, WA 98373-0017
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | None listed |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
Another provider at this address
About NPI 1104668508
Iyengar Plastic Surgery PLLC's National Provider Identifier is 1104668508, issued on Jun 7, 2024. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Puyallup, WA. The record was last updated on Jun 7, 2024.