| 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 |