Organization · Type 2 NPI
Imc Otolaryngology Facial Plastic & Reconstructive Surgery, P.c.
Facial Plastic Surgery Physician · Mobile, AL
NPI number
1275828659
Active
Practice location
3401 Medical Park Dr, Bldg 1, Suite 103
Mobile, AL 36693-3318
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.
3 other providers at this address
About NPI 1275828659
Imc Otolaryngology Facial Plastic & Reconstructive Surgery, P.c.'s National Provider Identifier is 1275828659, issued on Jun 14, 2011. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in Mobile, AL. The record was last updated on Jun 14, 2011.