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Contact Information

ADVANCED PLASTIC RECONSTRUCTION PLLC
9250 N 3RD ST
SUITE 1003
PHOENIX, AZ85020-2402
 Phone: 602-331-7811
 Fax: 602-331-5886
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ADVANCED PLASTIC RECONSTRUCTION PLLC · (Female)

NPI # 1639330566
Status Active
Credentials
Entity Individual
Enumeration date 06/23/2008
Last updated 02/27/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • AZ Medicaid 358484
  • Other Z124156 MEDICARE PTAN
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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