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Contact Information

PHOENIX OCULOPLASTIC CONSULTANTS, PLLC
3410 N 4TH AVE
PHOENIX, AZ85013-3905
 Phone: 602-257-1499
 Fax: 480-361-3517
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery Within the Head and Neck

2082S0099X 02 Physician/General Surgery
 

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for PHOENIX OCULOPLASTIC CONSULTANTS PLLC · (Female)

NPI Number 1497009641
Status Active
Credentials
Entity Individual
Enumeration date 11/08/2012
Last updated 11/08/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • AZ License # 33016
  • AZ Medicaid 608730
  • AZ Medicaid 868672
  • Other 1669438057 NPI
  • Other 1952570194 NPI
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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