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DESERT MOUNTAIN PLASTIC SURGEONS PC NPI 1184912164


NPI Information

NPI: 1184912164
Provider Name: DESERT MOUNTAIN PLASTIC SURGEONS, PC
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
895 S DOBSON RD
SUITE 1
CHANDLER, AZ
ZIP 85224
Phone: (480) 899-3737
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DESERT MOUNTAIN PLASTIC SURGEONS, PC is a plastic and reconstructive surgery surgery in Chandler, AZ. The provider is a surgeon who specializes in plastic and reconstructive surgery. DESERT MOUNTAIN PLASTIC SURGEONS, PC NPI is 1184912164. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

895 S DOBSON RD
SUITE 1
CHANDLER, AZ
ZIP 85224-718
Phone: (480) 899-3737
Fax: (480) 899-6262

The provider's authorized official is David M Creech .
The authorized official title is President and has the following contact phone number (480) 899-3737.

The enumeration date for this NPI number is 7/12/2011 and was last updated on 7/12/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0122XSurgeryPlastic and Reconstructive SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C68644MEDICARE UPINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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