NPI 1215383880

Niagara Plastics PLLC

Organisation Plastic Surgery Physician Scottsdale, AZ

Practice location

Address: 5010 E Shea Blvd Suite 175, Scottsdale, AZ 85254-4681
Phone: (480) 657-2000
Fax: (480) 657-2011
Mailing address: 10645 N Tatum Blvd Suite 200 611, Phoenix, AZ 85028-3068

Authorised official

Name: Chele L Banasiak
Title: Manager
Phone: (480) 657-2000

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 5628 (AZ)

Other Plastic Surgery providers in Arizona →

Registry record

NPI: 1215383880
Entity type: Organization
NPI issued: 12 May 2016
Record last updated: 12 May 2016

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.