AHWATUKEE FOOTHILLS PLASTIC SURGERY PC PHOENIX, AZ

Contact Information

AHWATUKEE FOOTHILLS PLASTIC SURGERY PC

15810 S 45TH ST
SUITE 140
PHOENIX, AZ 85048-7697

Phone: 480-759-3001
Fax: 480-759-1341
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Plastic and Reconstructive Surgery	2086S0122X	02	Physician/General Surgery

Indicates primary specialty

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NPI Profile & details for AHWATUKEE FOOTHILLS PLASTIC SURGERY PC · (Female)

NPI Number	`1568685477`
Status	Active
Credentials
Entity	Individual
Enumeration date	04/10/2007
Last updated	03/05/2009 - About 17 years ago
Sole proprietor ¹	Not specified
Identifiers	AZ License # 17174
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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