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ARIZONA CRANIOFACIAL & PLASTIC SURGERY CENTER PC NPI 1891905006


NPI Information

NPI: 1891905006
Provider Name: ARIZONA CRANIOFACIAL & PLASTIC SURGERY CENTER PC
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
15721 N GREENWAY HAYDEN LOOP
#201
SCOTTSDALE, AZ
ZIP 85260
Phone: (480) 905-9211
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ARIZONA CRANIOFACIAL & PLASTIC SURGERY CENTER PC is a plastic and reconstructive surgery surgery in Scottsdale, AZ. The provider is a surgeon who specializes in plastic and reconstructive surgery. ARIZONA CRANIOFACIAL & PLASTIC SURGERY CENTER PC NPI is 1891905006. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15721 N GREENWAY HAYDEN LOOP
#201
SCOTTSDALE, AZ
ZIP 85260-650
Phone: (480) 905-9211
Fax: (480) 905-0504

The provider's authorized official is Amber Alene Wallis .
The authorized official title is Office Manager and has the following contact phone number (480) 905-9211.

The enumeration date for this NPI number is 5/23/2007 and was last updated on 6/22/2008.


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 Surgery23958ARIZONAYes

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
1115054MEDICARE PINARIZONA
2Z20432MEDICARE ID-TYPE UNSPECIFIEDARIZONA
3F86454MEDICARE 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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