Organization
ADVANCED PLASTIC RECONSTRUCTION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PABLO A PRICHARD MD (OWNER)
(602) 331-7811
Entity
Organization
Contact information
Practice address
9250 N 3RD ST, SUITE 1003, PHOENIX, AZ 85020-2402
(602) 331-7811
(602) 331-5886
Mailing address
PO BOX 47490, PHOENIX, AZ 85068-7490
(602) 331-7811
(602) 331-5886
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
358484
—
AZ
01
—
Z124156
MEDICARE PTAN
—
Enumeration date
06/23/2008
Last updated
02/27/2018
Update your record
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