Organization · Type 2 NPI
Prime Facial Plastic Surgery
Facial Plastic Surgery Physician · Columbia, MD
NPI number
1184467847
Active
Practice location
10285 Little Patuxent Pkwy Ste 250
Columbia, MD 21044-3412
Mailing address
6050 Bricker Rd
Dayton, MD 21036-1248
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Facial Plastic Surgery Physician Primary | 207YS0123X | None listed |
Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.
Another provider at this address
About NPI 1184467847
Prime Facial Plastic Surgery's National Provider Identifier is 1184467847, issued on Jun 18, 2024. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in Columbia, MD. The record was last updated on Jun 18, 2024.