| NPI | 1063032266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RADBEH TORABI Owner 602-561-1432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck |
| 2082S0105X Plastic Surgery, Surgery of the Hand | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery | |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2020-04-29 |