Plastic Surgery Associates Of Redding A Medical Corporation in Redding - Plastic Surgery

Plastic Surgery Associates Of Redding A Medical Corporation - NPI 1710035035

Plastic Surgery Associates Of Redding A Medical Corporation is a Plastic Surgery in Redding, California. Plastic Surgery Associates Of Redding A Medical Corporation practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Plastic Surgery Associates Of Redding A Medical Corporation is 1710035035. The last update date is 2012-02-22.

Plastic Surgery Associates Of Redding A Medical Corporation's current location address is 2439 Sonoma St, Redding, California. You can contact this provider via phone number 5302411300 and fax number 5302410200. The mailing address for Plastic Surgery Associates Of Redding A Medical Corporation is 2439 Sonoma St, Redding, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Plastic Surgery Associates Of Redding A Medical Corporation
Address 2439 Sonoma St, Redding, California
Phone Number 5302411300
Fax Number 5302410200
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Ball D Mark
Credentials MD
Telephone Number 5302411300

NPI Number Detail

NPI Number 1710035035
Provider Enumeration Date 2007-01-05
Last Updated Date 2012-02-22

Provider Mailing Address Detail

Address 2439 Sonoma St
City Redding
State California (CA)
Post Code 960013026
Phone Number 5302411300
Fax Number 5302410200

Provider's Primary Taxonomy Detail

Speciality Plastic Surgery
Taxonomy 208200000X
Definition:
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
ZZZ37414Z CA MEDICARE GROUP ID
GR0057070 CA --

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FAQs about Plastic Surgery Associates Of Redding A Medical Corporation

What is the Plastic Surgery Associates Of Redding A Medical Corporation's unique identification number?

The Plastic Surgery Associates Of Redding A Medical Corporation has been assigned the NPI (National Provider Identifier) Number 1710035035 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Plastic Surgery Associates Of Redding A Medical Corporation is geographically located?

The Plastic Surgery Associates Of Redding A Medical Corporation is physically situated at the following location: 2439 Sonoma St, Redding, CA, 960013026.

What is the Plastic Surgery Associates Of Redding A Medical Corporation's area of specialization and corresponding taxonomy classification?

The Plastic Surgery Associates Of Redding A Medical Corporation's specialty field is Plastic Surgery, and it falls under the taxonomy code 208200000X, which categorizes healthcare providers based on their specialties.

On what date did the Plastic Surgery Associates Of Redding A Medical Corporation receive its 1710035035 assignment from the Centers for Medicare & Medicaid Services?

The Plastic Surgery Associates Of Redding A Medical Corporation was assigned its 1710035035 by the Centers for Medicare & Medicaid Services on 2007-01-05.

As of what date were the details pertaining to Plastic Surgery Associates Of Redding A Medical Corporation last refreshed?

The information related to the Plastic Surgery Associates Of Redding A Medical Corporation, including its address, specialty, and other relevant details, was last updated on 2012-02-22.

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