Organization · Type 2 NPI

Shriners Hospitals for Children

Plastic and Reconstructive Surgery Physician · Dayton, OH

NPI number 1568809358 Active

Practice location

1 Children's Plaza, 2 West
Dayton, OH 45404-1815

Fax (513) 872-6025

Mailing address

PO Box 8500, Lockbox #7642
Philadelphia, PA 19178-7642

Specialties and licenses

TaxonomyCodeLicense
Pediatric Surgery Physician 2086S0120XNone listed
Plastic and Reconstructive Surgery Physician Primary 2086S0122XNone listed
Family Nurse Practitioner 363LF0000XNone listed
Pediatric Nurse Practitioner 363LP0200XNone listed

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

5 other providers at this address

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About NPI 1568809358

Shriners Hospitals for Children's National Provider Identifier is 1568809358, issued on Jun 3, 2013. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Dayton, OH. The record was last updated on Jan 8, 2024.