Advanced Plastic Reconstruction Pllc
LBN: Advanced Plastic Reconstruction Pllc
Advanced Plastic Reconstruction Pllc is an health care organization with primary practice located at 9250 N 3Rd St Suite 1003, Phoenix AZ 85020-2402. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as the primary health care specialty.
Advanced Plastic Reconstruction Pllc can be contacted via phone (602) 331-7811, or through Prichard, Pablo A via phone (602) 331-7811.
Contact Information
Primary practice address
9250 N 3Rd St Suite 1003
Phoenix AZ 85020-2402
Phone: (602) 331-7811
Fax: (602) 331-5886
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X |
Profile Details
| NPI number | 1639330566 |
|---|---|
| LBN Legal business name | Advanced Plastic Reconstruction Pllc |
| DBA Doing business as | |
| Authorized official | Prichard, Pablo A Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 23rd, 2008 |
| Last updated | Feb 27th, 2018 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639330566 | NPPES |
| Other | Z124156 | MEDICARE PTAN | |
| MEDICAID | 358484 | MEDICARE PTAN |
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