-- IVAN NICOLAS VIAL -- MD
Individual Provider (NPI-1)
Active
Plastic Surgery
Provider Information
- NPI Number
1811284433- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 2450 NE MARY ROSE PL STE 201, BEND, OR, 977017133
- Phone
- (541) 317-0808
Specialties & Taxonomies
Plastic Surgery
Primary License: OR #MD180009
All Addresses
MAILING
2450 NE MARY ROSE PL STE 201
BEND, OR, 97701