GENESIS PLASTIC SURGERY AND MEDICAL SPA INC.,P.C.
Organization (NPI-2)
Active
Plastic Surgery
Provider Information
- NPI Number
1174793277- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 2505 S KELLY AVE, EDMOND, OK, 73013
- Phone
- (405) 340-9949
Specialties & Taxonomies
Plastic Surgery
Primary License: OK #20347