| NPI | 1942418132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY R MAFFI Owner Physician 480-505-6430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: AZ 32805) |
| Additional Taxonomies | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: AZ 32805) |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2012-03-13 |