Organization
APEX PLASTIC SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IAN PARKER DO (OWNER)
(480) 626-2482
Entity
Organization
Contact information
Practice address
5656 S. POWER RD, GILBERT, AZ 85295-8491
(480) 626-2482
(480) 304-9360
Mailing address
4340 E INDIAN SCHOOL RD, STE 21-496, PHOENIX, AZ 85018-5361
(480) 626-2482
(480) 304-9360
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
925224
—
AZ
Enumeration date
06/19/2007
Last updated
05/18/2009
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