Plastic Surgical Center

NPI #1871795211 in Omaha, Nebraska

Provider Information

NPI Number: 1871795211
Entity Type: Organization
Organization Name: Plastic Surgical Center
Primary Specialty: Specialist
Enumeration Date: Jun 5, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 4239 FARNAM ST
Address 2: #219
City: Omaha
State: Nebraska
ZIP Code: 68131-2868
Phone: (402) 552-2200

Authorized Official

Name: DR. STEVEN B. BLACK, M.D.
Title: M.D.
Phone: (402) 552-2200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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