Organization · Type 2 NPI
Plastic and Peripheral Nerve Surgery LLC
Plastic and Reconstructive Surgery Physician · Sun Lakes, AZ
NPI number
1760044325
Active
Practice location
25229 S Sun Lakes Blvd Ste 101
Sun Lakes, AZ 85248-6465
Fax (480) 802-8129
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | None listed |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
About NPI 1760044325
Plastic and Peripheral Nerve Surgery LLC's National Provider Identifier is 1760044325, issued on Jul 3, 2019. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Sun Lakes, AZ. The record was last updated on Jul 18, 2019.