Advanced Plastic Reconstruction PLLC
Surgery, Plastic and Reconstructive Surgery in Phoenix, AZ. Organization (NPI-2).
NPI number1639330566
StatusActive
Last updated in NPPESFeb 27, 2018
Details
- NPI
- 1639330566
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Plastic Reconstruction PLLC
- Organization subpart
- No
- Enumeration date
- Jun 23, 2008
- Last updated
- Feb 27, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0122X | Surgery, Plastic and Reconstructive Surgery | – | – | Yes |
Practice location
9250 N 3rd StSuite 1003
Phoenix, AZ 85020-2402
Phone 602-331-7811 · Fax 602-331-5886
Mailing address
Po Box 47490Phoenix, AZ 85068-7490
Phone 602-331-7811 · Fax 602-331-5886
Authorized official
Pablo A Prichard
Owner
6023317811
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