Plastic and Reconstructive Surgery
NPI #1043249972 in Pleasanton, California
Provider Information
- NPI Number
- 1043249972
- Entity Type
- Organization
- Organization Name
- Plastic and Reconstructive Surgery
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jul 2, 2006
- Last Updated
- May 9, 2012
Practice Location
- Address
- 1387 SANTA RITA RD
- City
- Pleasanton
- State
- California
- ZIP Code
- 94566-5643
- Phone
- (925) 462-3700
Authorized Official
- Name
- MRS. JUDI HICKLIN
- Title
- ADMINISTRATOR
- Phone
- (925) 462-3700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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