NPI | 1013481977 |
---|---|
Doing Business As | ARIZONA |
Doing Business As | ARIZONA OCULOFACIAL PLASTIC ORBIT AND COSMETIC SURGERY LLC |
Entity Type | Organization |
Authorized Contact | DAVID SOTO Credentialing Manager 480-822-6230 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
Enumeration Date | 2019-01-14 |
Last Update Date | 2019-01-14 |