Individual
DR. RONI BENJAMIN PRUCZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9250 N 3RD ST STE 1003, PHOENIX, AZ 85020-2402
(602) 331-7811
(602) 331-5886
Mailing address
9250 N 3RD ST STE 1003, PHOENIX, AZ 85020-2402
(602) 331-7811
(602) 331-5886
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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