NEW IMAGE PLASTIC SURGERY NPI 1396013389

NPI Information

NEW IMAGE PLASTIC SURGERY is an ambulatory surgical clinic center in Scottsdale, AZ. NEW IMAGE PLASTIC SURGERY NPI is 1396013389. The provider is registered as an organization entity type.

The provider's business location address is:

7425 E SHEA BLVD STE 105
SCOTTSDALE, AZ
ZIP 85260-411
Phone: (480) 596-6886
Fax: (480) 596-8989

The provider's authorized official is Lauren Wiener .
The authorized official title is Office Manager and has the following contact phone number (480) 596-6886.

The CLIA number assigned to this NPI record is 03D0997453 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/6/2011 and was last updated on 12/6/2011.

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:

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