Board Certified Plastic Surgeon, P.a.

NPI #1437283983 in Fort Smith, Arkansas

Provider Information

NPI Number: 1437283983
Entity Type: Organization
Organization Name: Board Certified Plastic Surgeon, P.a.
Primary Specialty: Specialist
Enumeration Date: Mar 15, 2007
Last Updated: Dec 31, 2008

Practice Location

Address: 2717 S 74TH ST
City: Fort Smith
State: Arkansas
ZIP Code: 72903-5100
Phone: (479) 452-9080

Authorized Official

Name: DR. RAYMOND C GOODMAN JR., M.D.
Title: OWNER
Phone: (479) 452-9080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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