Organization · Type 2 NPI
Deschamps-Braly Foundation for Pediatric Craniofacial Maladies
Plastic and Reconstructive Surgery Physician · San Francisco, CA
NPI number
1902218837
Active
Practice location
450 Sutter St. #1520
San Francisco, CA 94108
Fax (415) 276-9382
Mailing address
450 Sutter St. #1520
San Francisco, CA 94107
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | A121399 (CA) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
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About NPI 1902218837
Deschamps-Braly Foundation for Pediatric Craniofacial Maladies's National Provider Identifier is 1902218837, issued on May 27, 2014. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in San Francisco, CA. The record was last updated on Jul 17, 2015.