NPI | 1720597065 |
---|---|
Doing Business As | PHX PLASTIC SURGERY |
Entity Type | Organization |
Authorized Contact | JASON D JOHNSON Owner 602-610-2999 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: AZ 006929) |
Enumeration Date | 2017-09-28 |
Last Update Date | 2020-04-06 |