Organization · NPI-2

About Face- Ear Nose & Throat Facial Plastic Surgery PC

Otolaryngology, Otolaryngology/Facial Plastic Surgery · Scottsdale, AZ

NPI number1396097580
StatusActive
Last updated in NPPESFeb 8, 2013

Details

NPI
1396097580
Entity type
Organization (NPI-2)
Legal business name
About Face- Ear Nose & Throat Facial Plastic Surgery PC
Organization subpart
No
Enumeration date
Oct 11, 2012
Last updated
Feb 8, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207YX0905X Otolaryngology, Otolaryngology/Facial Plastic SurgeryAZ22242AZYes

Practice location

9767 N 91st St # B102
Scottsdale, AZ 85258-5086

Phone 480-314-0100 · Fax 480-314-1170

Mailing address

9767 N 91st St # B102
Scottsdale, AZ 85258-5086

Phone 480-314-0100 · Fax 480-314-1170

Authorized official

Robert H Woods
President
4803140100

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