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Contact Information

BURT FAIBISOFF, MD, PLLC
2035 MESQUITE AVE
SUITE A
LAKE HAVASU CITY, AZ86403-5894
 Phone: 928-680-7707
 Fax: 928-680-7773
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BURT FAIBISOFF, MD, PLLC

NPI # 1336396761
LBN Legal business name BURT FAIBISOFF, MD, PLLC
Authorized official BURT FAIBISOFF - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/27/2008
Last updated 08/27/2008 - About 18 years ago
Identifiers
AZ License # 13213
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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