| NPI | 1578508057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PABLO ANDRES PRICHARD Managing Partner 602-331-7811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: AZ 34430) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2022-11-08 |