Organization · Type 2 NPI
Roanoke Plastic Surgery PLC
Plastic and Reconstructive Surgery Physician · Roanoke, VA
NPI number
1184768939
Active
Practice location
1118 First Street SW
Roanoke, VA 24016-4702
Fax (540) 581-1401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | 0101050799 (VA) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
About NPI 1184768939
Roanoke Plastic Surgery PLC's National Provider Identifier is 1184768939, issued on Feb 16, 2007. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Roanoke, VA. The record was last updated on Aug 22, 2020.