| NPI | 1598950727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ELIZABETH BOLL Plastic Surgeon 480-833-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: AZ 36586) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2018-03-27 |