Aesthetic Surgeons Of Arizona, P.c.

NPI 1003803255 - Plastic Surgery - 208200000X

NPI Details
NPI 1003803255
Enumeration Date 10/03/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name JACK A JACK
Position PRESIDENT
Phone (602) 257-8480
Fax (602) 257-0050
Practice Location
101 E CORONADO RD
PHOENIX AZ, 85004-1512, US
Phone (602) 257-8480
Fax (602) 257-0050
Business Location
101 E CORONADO RD
PHOENIX AZ, 85004-1512, US
Phone (602) 257-8480
Fax (602) 257-0050
Toxanomy
Taxonomy Code 208200000X
License State
License Number
Remove 1003803255 NPI Number
 

According to our database, Aesthetic Surgeons Of Arizona, P.c. NPI is 1003803255, taxonomy code is 208200000X Aesthetic Surgeons Of Arizona, P.c. physically located at 101 E Coronado Rd, Phoenix AZ, 85004-1512. NPI Number 1033115704 has the healthcare provider type.

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1003803255 NPI number is provided on an as is basis without warranty of any kind. 1003803255 is maintained by the National Plan & Provider Enumeration System. The contents of Aesthetic Surgeons Of Arizona, P.c. are for informational purposes only.