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ADVANCED PLASTIC RECONSTRUCTION PLLC NPI 1639330566


NPI Information

NPI: 1639330566
Provider Name: ADVANCED PLASTIC RECONSTRUCTION PLLC
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
9250 N 3RD ST
SUITE 1003
PHOENIX, AZ
ZIP 85020
Phone: (602) 331-7811
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ADVANCED PLASTIC RECONSTRUCTION PLLC is a plastic and reconstructive surgery surgery in Phoenix, AZ. The provider is a surgeon who specializes in plastic and reconstructive surgery. ADVANCED PLASTIC RECONSTRUCTION PLLC NPI is 1639330566. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

9250 N 3RD ST
SUITE 1003
PHOENIX, AZ
ZIP 85020-402
Phone: (602) 331-7811
Fax: (602) 331-5886

The provider's authorized official is Pablo A Prichard .
The authorized official title is Owner and has the following contact phone number (602) 331-7811.

The enumeration date for this NPI number is 6/23/2008 and was last updated on 2/27/2018.


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
1Z124156OTHERMEDICARE PTAN
2358484MEDICAIDARIZONA

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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