Individual
TERRY R MAFFI I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
32805
AZ
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
32805
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
868292
—
AZ
01
—
AZ0768540
BC OF AZ PROVIDER NUMBER
AZ
Enumeration date
10/03/2005
Last updated
12/16/2014
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