Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PAULA JEAN FORMOSA, MD
ActivePAULA JEAN FORMOSA, MD is a Plastic Surgery healthcare provider located in DAKOTA DUNES, South Dakota. NPI 1073516308 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery · DAKOTA DUNES, SD
Registration Details
- NPI Number
- 1073516308
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 31, 2005 (21.179580462725 yrs)
- Last Updated
- Aug 5, 2010
- License
-
5141 (SD)
Practice Information
- Address
-
575 N SIOUX POINT RDDAKOTA DUNES, SD, 570495312Browse SD providers · Browse ZIP 57049
- Phone
- 6052172667
- Fax
- 6052172900
- Primary Specialty
-
Plastic Surgery
208200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.