Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Plastic and Reconstructive Surgery |
2086S0122X | 02 | Physician/General Surgery |
| NPI Number | 1124125497 |
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| LBN Legal business name | PRESCOTT PLASTIC SURGERY & MED SPA PLLC | ||||
| Authorized official | ANGELA PRESCOTT - (OWNER/ PROVIDER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 09/20/2006 | ||||
| Last updated | 11/19/2025 - About 7 months ago | ||||
| Identifiers |
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PRESCOTT PLASTIC SURGERY & MED SPA PLLC
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