NPI Profile for ADVANCED PLASTIC RECONSTRUCTION PLLC in PHOENIX, AZ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Plastic and Reconstructive Surgery |
2086S0122X | 02 | Physician/General Surgery |
| 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 |
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|
| Hospital affiliation(s) | Not Available |
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ADVANCED PLASTIC RECONSTRUCTION PLLC
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