ESTRELLA EAR NOSE AND THROAT PC NPI 1952623100

NPI Information

ESTRELLA EAR, NOSE AND THROAT PC is a facial plastic surgery otolaryngology in Gilbert, AZ. The provider is an otolaryngologist who specializes in facial plastic surgery. ESTRELLA EAR, NOSE AND THROAT PC NPI is 1952623100. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2700 N 140TH AVE
STE 107
GILBERT, AZ
ZIP 85395
Phone: (623) 535-8770
Fax: (623) 535-8771

The provider's authorized official is Jonathon J Wiggenhorn .
The authorized official title is President and has the following contact phone number (623) 535-8770.

The CLIA number assigned to this NPI record is 03D2132024 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/15/2010 and was last updated on 10/18/2013.

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:

Other Identifiers

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