Plastic Surgery Center Of Virginia in Blacksburg - Plastic Surgery
Plastic Surgery Center Of Virginia - NPI 1073562047
Plastic Surgery Center Of Virginia is a Plastic Surgery in Blacksburg, Virginia. Plastic Surgery Center Of Virginia practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Plastic Surgery Center Of Virginia is 1073562047. The last update date is 2014-03-13.
Plastic Surgery Center Of Virginia's current location address is 817 Davis St, Blacksburg, Virginia. You can contact this provider via phone number 5409518885 and fax number 5409518887. The mailing address for Plastic Surgery Center Of Virginia is 817 Davis St, Blacksburg, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Plastic Surgery Center Of Virginia |
|---|---|
| Address | 817 Davis St, Blacksburg, Virginia |
| Phone Number | 5409518885 |
| Fax Number | 5409518887 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Grubbs E. Philip |
| Credentials | MD |
| Telephone Number | 5409513429 |
NPI Number Detail
| NPI Number | 1073562047 |
|---|---|
| Provider Enumeration Date | 2006-05-08 |
| Last Updated Date | 2014-03-13 |
Provider Mailing Address Detail
| Address | 817 Davis St |
|---|---|
| City | Blacksburg |
| State | Virginia (VA) |
| Post Code | 240607013 |
| Phone Number | 5409518885 |
| Fax Number | 5409518887 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery |
|---|---|
| Taxonomy | 208200000X |
| Licence No | 101051261 |
|
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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6900241 | VA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Plastic Surgery Center Of Virginia by the Centers for Medicare & Medicaid Services?
The Plastic Surgery Center Of Virginia has been issued the NPI (National Provider Identifier) 1073562047. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Plastic Surgery Center Of Virginia?
The Plastic Surgery Center Of Virginia is situated at 817 Davis St, in the city of Blacksburg, state of VA, with the zip code 240607013.
What is Plastic Surgery Center Of Virginia's specialized field of practice, and what is the corresponding taxonomy classification code?
The Plastic Surgery Center Of Virginia's area of specialization is Plastic Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208200000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1073562047 to Plastic Surgery Center Of Virginia?
The Plastic Surgery Center Of Virginia received its 1073562047 assignment from the Centers for Medicare & Medicaid Services on 2006-05-08.
As of what date was the information pertaining to Plastic Surgery Center Of Virginia, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Plastic Surgery Center Of Virginia, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-03-13.
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