Organization · Type 2 NPI
Bastug Plastic Surgery PC
Specialist · Waterloo, IA
NPI number
1386654879
Active
Practice location
2710 Saint Francis Dr, Suite 419
Waterloo, IA 50702-5619
Fax (319) 272-8558
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 32236 (IA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1386654879
Bastug Plastic Surgery PC's National Provider Identifier is 1386654879, issued on Aug 8, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Waterloo, IA. The record was last updated on Oct 14, 2011.