East Alabama Plastic Surgery, LLC

NPI #1659634624 in Auburn, Alabama

Provider Information

NPI Number: 1659634624
Entity Type: Organization
Organization Name: East Alabama Plastic Surgery, LLC
Primary Specialty: Plastic Surgery
Enumeration Date: Jun 24, 2012
Last Updated: Jun 24, 2012

Practice Location

Address: 778 N DEAN RD
Address 2: SUITE 400
City: Auburn
State: Alabama
ZIP Code: 36830-4312
Phone: (334) 321-4989

Authorized Official

Name: DR. RALPH L AQUADRO III, M.D.
Title: LLC MEMBER
Phone: (334) 321-4989

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X	Primary

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