ADVANCED PLASTIC RECONSTRUCTION PLLC; NPI #1639330566

Contact Information

ADVANCED PLASTIC RECONSTRUCTION PLLC

9250 N 3RD ST
SUITE 1003
PHOENIX, AZ 85020-2402

Phone: 602-331-7811
Fax: 602-331-5886
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 ADVANCED PLASTIC RECONSTRUCTION PLLC

NPI Number 1639330566

LBN Legal business name ADVANCED PLASTIC RECONSTRUCTION PLLC

Authorized official PABLO PRICHARD - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/23/2008

Last updated 02/27/2018 - About 8 years ago

Identifiers

AZ	Medicaid	358484
	Other	Z124156	MEDICARE PTAN

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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ADVANCED PLASTIC RECONSTRUCTION PLLC

Contact Information

Specialty

Plastic and Reconstructive Surgery

NPI Profile & details for ADVANCED PLASTIC RECONSTRUCTION PLLC

Reviews for ADVANCED PLASTIC RECONSTRUCTION PLLC