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Individual

DR. RONI BENJAMIN PRUCZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
52965
AZ
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
52965
AZ
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
52965
AZ
2086S0122X
Plastic and Reconstructive Surgery Physician
52965
AZ

Other

Enumeration date
03/29/2009
Last updated
09/19/2016
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