| NPI | 1548593916 |
|---|---|
| Doing Business As | PRESCOTT PLASTIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | WILLIAM WADE COLLISON Owner 928-778-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AZ 10644) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2009-09-16 |