PLASTIC AND PERIPHERAL NERVE SURGERY LLC NPI 1760044325

NPI Information

PLASTIC AND PERIPHERAL NERVE SURGERY LLC is a plastic and reconstructive surgery surgery in Sun Lakes, AZ. The provider is a surgeon who specializes in plastic and reconstructive surgery. PLASTIC AND PERIPHERAL NERVE SURGERY LLC NPI is 1760044325. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

25229 S SUN LAKES BLVD STE 101
SUN LAKES, AZ
ZIP 85248-465
Phone: (480) 802-8511
Fax: (480) 802-8129

The provider's authorized official is Sean Wolfort .
The authorized official title is Member and has the following contact phone number (480) 802-8511.

The enumeration date for this NPI number is 7/3/2019 and was last updated on 7/18/2019.

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:

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