Organization
DESERT VALLEY PLASTIC SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENARO FRANCISCO VALLADOLID (MEMBER/MANAGER)
(619) 664-7336
Entity
Organization
Contact information
Practice address
6116 E ARBOR AVE STE 102, MESA, AZ 85206-6103
(480) 770-5015
Mailing address
9393 N 90TH ST., SUITE # 102, PMB # 291, SCOTTSDALE, AZ 85258-5073
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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