National Provider Identifier Database

ADVANCED PLASTIC SURGERY CENTER LLC
Ambulatory Surgical


Contact Information

ADVANCED PLASTIC SURGERY CENTER, L.L.C.
1615 PETROGLYPH POINT DR
PRESCOTT, AZ86301-6539
Phone: 928-777-0200
Fax: 928-443-1117
Website:
Specialty Taxonomy Code
* Ambulatory Surgical 261QA1903X

* Indicates primary specialty

NPI Profile & details for ADVANCED PLASTIC SURGERY CENTER, L.L.C.

NPI Number 1447458591
Legal business name
LBN
ADVANCED PLASTIC SURGERY CENTER, L.L.C.
Authorized official MARK FETTER - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 07/10/2007
Last updated 08/16/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers n/a

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.

Reviews for ADVANCED PLASTIC SURGERY CENTER, L.L.C.

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