Individual provider · Type 1 NPI

Philip Vasin Bystrom, MD

Plastic and Reconstructive Surgery Physician · Tucson, AZ

NPI number 1205397668 Active

Practice location

1625 N Campbell Ave
Tucson, AZ 85719-4330

Mailing address

1501 N Campbell Ave
Tucson, AZ 85724-0001

Specialties and licenses

TaxonomyCodeLicense
Plastic and Reconstructive Surgery Physician Primary 2086S0122XR82692 (AZ)

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

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About NPI 1205397668

Philip Vasin Bystrom, MD's National Provider Identifier is 1205397668, issued on Mar 28, 2019. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Tucson, AZ. The record was last updated on Aug 16, 2026.