Organization
ARIZONA OCULOFACIAL PLASTIC ORBIT AND COSMETIC SURGERY, LLC
Active
Other names
Arizona Oculofacial Plastic Orbit and Cosmetic Surgery LLC, Arizona
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SOTO (CREDENTIALING MANAGER)
(480) 822-6230
Entity
Organization
Contact information
Practice address
1055 S STAPLEY DR, MESA, AZ 85204-5013
(480) 892-8400
(480) 892-1889
Mailing address
PO BOX 40085, MESA, AZ 85274-0085
(323) 533-4452
(480) 994-9479
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
247118
—
AZ
Enumeration date
01/14/2019
Last updated
01/14/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us