Fouad Victor Atalla, M.D. Valid NPI

Individual provider · Plastic and Reconstructive Surgery Physician · Bowling Green, KY

NPI

1063408771

Type

Individual (Type 1)

Primary specialty

Plastic and Reconstructive Surgery Physician (Surgery)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2086S0122X

License number

33744 (KY)

Sex

Male

Sole proprietor

No

Enumerated

2005-09-27

Last updated

2020-10-07