Organization · Type 2 NPI

Arizona Oculofacial Plastic Orbit and Cosmetic Surgery, LLC

Ophthalmologic Surgery Clinic/Center · Mesa, AZ

NPI number 1013481977 Active

Practice location

1055 S Stapley Dr
Mesa, AZ 85204-5013

Call (480) 892-8400 Map

Fax (480) 892-1889

Mailing address

PO Box 40085
Mesa, AZ 85274-0085

Specialties and licenses

Taxonomy	Code	License
Ophthalmologic Surgery Clinic/Center Primary	261QS0132X	None listed

Ophthalmologic Surgery Clinic/Center: Definition to come...

13 other providers at this address

NPI record

NPI: 1013481977
Entity type: Organization (Type 2)
Issued: Jan 14, 2019
Last updated: Jan 14, 2019
Status: Active

Other names

Arizona · doing business as
Arizona Oculofacial Plastic Orbit and Cosmetic Surgery LLC · doing business as

Authorized official

David Soto
Credentialing Manager
(480) 822-6230

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013481977

Arizona Oculofacial Plastic Orbit and Cosmetic Surgery, LLC's National Provider Identifier is 1013481977, issued on Jan 14, 2019. The primary taxonomy on file is Ophthalmologic Surgery Clinic/Center (261QS0132X), and the practice location is in Mesa, AZ. The record was last updated on Jan 14, 2019.