# ARIZONA HEAD NECK & FACIAL SURGERY LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922126085
- **Authorized official:** PETER H NUTLEY MD (PRESIDENT)
- **Authorized official phone:** (602) 258-9859

## Contact information

- **Practice address:** 1515 N 9TH STREET, SUITE B, PHOENIX, AZ 85006
- **Practice address phone:** (602) 258-9859
- **Practice address fax:** (602) 256-0820
- **Mailing address:** 1515 N 9TH STREET, SUITE B, PHOENIX, AZ 85006
- **Mailing address phone:** (602) 258-9859
- **Mailing address fax:** (602) 256-0820

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | — | NULL | Yes |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/27/2007
- **Last updated:** 08/22/2020