NPI 1053834739

Ktl Plastic Surgery

Organisation Plastic Surgery Physician Phoenix, AZ

Practice location

Address: 10910 N Tatum Blvd STE B100, Phoenix, AZ 85028-3080
Phone: (631) 827-8159

Authorised official

Name: Mathew James
Title: Patient Accounts
Phone: (631) 827-8159

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X

Other Plastic Surgery providers in Arizona →

Registry record

NPI: 1053834739
Entity type: Organization
NPI issued: 25 Jul 2017
Record last updated: 21 Jul 2022

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.