National Provider Identifier Database

AHWATUKEE FOOTHILLS PLASTIC SURGERY PC
Plastic and Reconstructive Surgery


Contact Information

AHWATUKEE FOOTHILLS PLASTIC SURGERY PC
15810 S 45TH ST
SUITE 140
PHOENIX, AZ85048-7697
Phone: 480-759-3001
Fax: 480-759-1341
Website:
Specialty Taxonomy Code
* Plastic and Reconstructive Surgery 2086S0122X

* Indicates primary specialty

NPI Profile & details for AHWATUKEE FOOTHILLS PLASTIC SURGERY PC

NPI Number 1568685477
Legal business name
LBN
AHWATUKEE FOOTHILLS PLASTIC SURGERY PC
Authorized official TODD FARNWORTH - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 04/10/2007
Last updated 03/05/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: 17174

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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