| NPI | 1679920862 |
|---|---|
| Doing Business As | SCOTTSDALE PLASTICS |
| Entity Type | Organization |
| Authorized Contact | ROBERT GRANILLO BONILLAS Owner/Physician 480-245-6380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: AZ 40994) |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-05-18 |