Organization · Type 2 NPI

Supernova Consulting LLC

Plastic Surgery Physician · Phoenix, AZ

NPI number 1205486800 Active

Practice location

4550 E Bell Rd Ste 150
Phoenix, AZ 85032-9382

Other practice locations

  • 10910 N Tatum Blvd Ste B100, Phoenix, AZ 85028-3080 · (480) 291-6895

Specialties and licenses

TaxonomyCodeLicense
Plastic Surgery Physician Primary 208200000XNone listed

Plastic Surgery Physician: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to b…

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About NPI 1205486800

Supernova Consulting LLC's National Provider Identifier is 1205486800, issued on Sep 16, 2019. The primary taxonomy on file is Plastic Surgery Physician (208200000X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 26, 2021.