Organization
PHOENIX PLASTIC SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONI B PRUCZ MD (MANAGING PARTNER)
(480) 625-0003
Entity
Organization
Contact information
Practice address
9250 N 3RD ST STE 1003, PHOENIX, AZ 85020-2402
(602) 331-7811
(833) 807-8800
Mailing address
7575 E REDFIELD RD STE 235, SCOTTSDALE, AZ 85260-3929
(304) 685-9808
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
05/02/2019
Last updated
05/02/2019
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