Dr Shape USA, INC
Surgery in Parkersburg, WV. Organization (NPI-2).
NPI number1992133466
StatusActive
Last updated in NPPESOct 21, 2013
Details
- NPI
- 1992133466
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr Shape USA, INC
- Organization subpart
- No
- Enumeration date
- Oct 21, 2013
- Last updated
- Oct 21, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 18860 | WV | Yes |
| 208200000X | Plastic Surgery | 18860 | WV |
Practice location
3113 Murdoch AveParkersburg, WV 26101-1018
Phone 304-422-2940
Mailing address
3113 Murdoch AveParkersburg, WV 26101-1018
Phone 304-422-2940
Authorized official
Alexandre Desouza
President
3044222940
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