Organization
AESTHETIC SURGEONS OF ARIZONA, P.C.
Active
Other names
Jack A. Friedland, M.D., P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
JACK A FRIEDLAND M.D. (PRESIDENT)
(602) 257-8480
Entity
Organization
Contact information
Practice address
101 E CORONADO RD, PHOENIX, AZ 85004-1512
(602) 257-8480
(602) 257-0050
Mailing address
101 E CORONADO RD, PHOENIX, AZ 85004-1512
(602) 257-8480
(602) 257-0050
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0200850
BC OF AZ PROVIDER #
AZ
Enumeration date
10/03/2005
Last updated
08/22/2020
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