| Organization Name: | UNIVERSITY PLASTIC SURGEONS, INC. |
| NPI Number: | 1104005776 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KIMBERLY A EVANS (MNGT) |
| Mailing Address: | 1611 S Green Rd #238 South Euclid |
| State: | OH US |
| Postal Code: | 441214128 |
| Phone Number: | 2166914000 |
| Fax Number: | 2166914004 |
| NPI Enumeration Date: | 10/30/2007 |
| NPI Last Update Date: | 11/27/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 35 059617 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |