Advanced Facial Plastics & Mohs

NPI #1922295328 in Rockford, Illinois

Provider Information

NPI Number
1922295328
Entity Type
Organization
Organization Name
Advanced Facial Plastics & Mohs
Primary Specialty
Dermatology - MOHS-Micrographic Surgery
Enumeration Date
Sep 28, 2007
Last Updated
Nov 8, 2007

Practice Location

Address
1235 N MULFORD RD
Address 2
SUITE 100
ZIP Code
61107-3879
Phone
(815) 484-9900

Authorized Official

Name
KIMBERLY MACMURCHY
Title
CONTRACTING AND CREDENTIALING
Phone
(815) 484-9900

Specialties & Taxonomy Codes

Specialty
Plastic Surgery
Plastic Surgery - Plastic Surgery Within the Head and NeckPlastic Surgery Within the Head and Neck
Dermatology - MOHS-Micrographic SurgeryMOHS-Micrographic Surgery

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