| NPI | 1831334820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY M NELSON Owner/Physician 520-575-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: AZ 23419) |
| Additional Taxonomies | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: AZ 23419) |
| 2086S0105X Surgery, Surgery of the Hand (Licence: AZ 23419) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: AZ 23419) | |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2008-12-05 |