Organization
KODA PLASTIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA A RAGHIB MEDICAL ASSISTANT (PRACTICE MANAGER)
(616) 914-8894
Entity
Organization
Contact information
Practice address
9097 E DESERT COVE AVE STE 100, SCOTTSDALE, AZ 85260-6276
(616) 914-8894
(480) 701-4990
Mailing address
9097 E DESERT COVE AVE STE 100, SCOTTSDALE, AZ 85260-6276
(616) 914-8894
(480) 701-4990
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
06/05/2024
Last updated
06/12/2024
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