institution
Plastic Surgery Center Of St Joseph, Inc
Ambulatory Surgical Clinic/Center in Saint Joseph, Missouri
NPI 1508862996

Plastic Surgery Center Of St Joseph, Inc is an Ambulatory Surgical Clinic/Center based in Saint Joseph, MO and is specialized in Ambulatory Surgical. Plastic Surgery Center Of St Joseph, Inc practices in Saint Joseph, MO. The NPI Number for Plastic Surgery Center Of St Joseph, Inc is 1508862996 and holds a License No. 136-0 (Missouri).

The current practice location address for Plastic Surgery Center Of St Joseph, Inc is 2111 N Woodbine Rd, Saint Joseph, MO and can be reached out via phone at 816-364-6416 and via fax at 816-364-5320.

Location: 2111 N Woodbine Rd, Saint Joseph, MO, 64506-2440
institution
Provider Profile Details
NPI Number
1508862996
Provider Name
Plastic Surgery Center Of St Joseph, Inc
Credential
Provider Entity Type
Organization
Address
2111 N Woodbine Rd, Saint Joseph, MO, 64506-2440
Phone Number
816-364-6416
Fax Number
816-364-5320
Provider Enumeration Date
06/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
136-0 01 MO STATE LICENSE NUMBER
509336905 05 MO
institution
Provider Business Practice Location Address Details
Address
2111 N Woodbine Rd
City
State
Zip
64506-2440
Phone Number
816-364-6416
Fax Number
816-364-5320
person
Provider Business Mailing Address Details
Address
2111 N Woodbine Rd
City
State
Zip
64506-2440
Phone Number
816-364-6416
Fax Number
816-364-5320
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
136-0 (Missouri)
Definition
Definition to come...
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