Gulf Coast Plastic & Reconstructive Surgery, Inc.

NPI #1649510744 in Dothan, Alabama

Provider Information

NPI Number: 1649510744
Entity Type: Organization
Organization Name: Gulf Coast Plastic & Reconstructive Surgery, Inc.
Primary Specialty: Surgery - Plastic and Reconstructive Surgery
Enumeration Date: Feb 26, 2013
Last Updated: Mar 20, 2013

Practice Location

Address: 106 WESTSIDE DR
City: Dothan
State: Alabama
ZIP Code: 36303-1908
Phone: (850) 233-3376

Authorized Official

Name: JON R WARD, M.D.
Title: PRESIDENT
Phone: (850) 233-3376

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Plastic and Reconstructive Surgery — Plastic and Reconstructive Surgery	2086S0122X	Primary

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