Organization Name: | BLAIR COUNTY PLASTIC SURGERY INC |
NPI Number: | 1013997204 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT BRIAN LOUTON (OWNER) |
Mailing Address: | 3107 Fairway Drive Altoona |
State: | PA US |
Postal Code: | 16602 |
Phone Number: | 8149497280 |
Fax Number: | 8149497283 |
NPI Enumeration Date: | 01/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0122X |
License Number: | MD045155E |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Plastic and Reconstructive Surgery |
Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |