PHOENIX PLASTIC SURGERY PLLC NPI 1508421819

NPI Information

NPI: 1508421819
Provider Name: PHOENIX PLASTIC SURGERY, PLLC
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
9250 N 3RD ST STE 1003
PHOENIX, AZ
ZIP 85020
Phone: (602) 331-7811
Get Directions

PHOENIX PLASTIC SURGERY, PLLC is a plastic and reconstructive surgery surgery in Phoenix, AZ. The provider is a surgeon who specializes in plastic and reconstructive surgery. PHOENIX PLASTIC SURGERY, PLLC NPI is 1508421819. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9250 N 3RD ST STE 1003
PHOENIX, AZ
ZIP 85020-402
Phone: (602) 331-7811
Fax: (833) 807-8800

The provider's authorized official is Roni B Prucz .
The authorized official title is Managing Partner and has the following contact phone number (480) 625-0003.

The enumeration date for this NPI number is 5/2/2019 and was last updated on 5/2/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0122X	Surgery	Plastic and Reconstructive Surgery			Yes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »