NPI 1043433949

Palo Verde Plastic Surgery PC

Organisation Plastic and Reconstructive Surgery Physician Phoenix, AZ

Practice location

Address: 15810 S 45th St Suite 140, Phoenix, AZ 85048-7694
Phone: (480) 759-3001
Fax: (480) 759-1341

Authorised official

Name: John M Rowley
Title: President
Phone: (480) 759-3001

Registered specialties

Plastic and Reconstructive Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0122X Licence 28662 (AR)

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Registry record

NPI: 1043433949
Entity type: Organization
NPI issued: 10 Apr 2007
Record last updated: 3 Mar 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.