AHWATUKEE FOOTHILLS PLASTIC SURGERY PC; NPI #1568685477

Contact Information

AHWATUKEE FOOTHILLS PLASTIC SURGERY PC

15810 S 45TH ST
SUITE 140
PHOENIX, AZ 85048-7697

Phone: 480-759-3001
Fax: 480-759-1341
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Plastic and Reconstructive Surgery	2086S0122X	02	Physician/General Surgery

Indicates primary specialty

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NPI Profile & details for AHWATUKEE FOOTHILLS PLASTIC SURGERY PC

NPI Number 1568685477

LBN Legal business name AHWATUKEE FOOTHILLS PLASTIC SURGERY PC

Authorized official TODD FARNWORTH - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/10/2007

Last updated 03/05/2009 - About 17 years ago

Identifiers

License #

17174

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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