# LEY INSTITUTE OF PLASTIC & HAND SURGERY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Arizona Craniofacial & Pediatric Plastic Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932454881
- **Authorized official:** DR. ELEAZAR LEY TAI M.D. (OWNER/MANAGER)
- **Authorized official phone:** (801) 651-8782

## Contact information

- **Practice address:** 1517 N WILMOT RD, 177, TUCSON, AZ 85712-4410
- **Practice address phone:** (520) 396-3566
- **Practice address fax:** (801) 396-3548
- **Mailing address:** 5225 E KNIGHT DR, SUITE 201, TUCSON, AZ 85712-2156
- **Mailing address phone:** (520) 396-3566
- **Mailing address fax:** (801) 396-3548

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 36876 | AZ | Yes |

## Other

- **Enumeration date:** 07/17/2012
- **Last updated:** 07/17/2012