Organization
ADVANCED PLASTIC SURGERY CENTER, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK D FETTER M.D. (MEDICAL DIRECTOR)
(928) 777-0200
Entity
Organization
Contact information
Practice address
1615 PETROGLYPH POINT DR, PRESCOTT, AZ 86301-6539
(928) 777-0200
(928) 443-1117
Mailing address
1615 PETROGLYPH POINT DR, PRESCOTT, AZ 86301-6539
(928) 777-0200
(928) 443-1117
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/10/2007
Last updated
08/16/2007
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