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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 Specialty Code Provider Type

Ambulatory Surgical

261QA1903X 49 Ambulatory Surgical Center
Indicates primary specialty

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

NPI # 1447458591
LBN Legal business name ADVANCED PLASTIC SURGERY CENTER, L.L.C.
Authorized official MARK FETTER - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/10/2007
Last updated 08/16/2007 - About 19 years ago
Identifiers n/a
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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