Boyette Facial Plastic Surgery, PA

NPI #1689021420 in Little Rock, Arkansas

Provider Information

NPI Number
1689021420
Entity Type
Organization
Organization Name
Boyette Facial Plastic Surgery, PA
Primary Specialty
Surgery - Plastic and Reconstructive Surgery
Enumeration Date
May 23, 2016
Last Updated
May 23, 2016

Practice Location

Address
9601 LILE DR.
Address 2
MEDICAL TOWERS BUILDING 1, SUITE 970B
ZIP Code
72205-6321
Phone
(501) 205-8610

Authorized Official

Name
DR. JENNINGS RUSSELL BOYETTE, MD
Title
OWNER
Phone
(501) 205-8610

Specialties & Taxonomy Codes

Specialty
Surgery - Plastic and Reconstructive SurgeryPlastic and Reconstructive Surgery

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