Organization
SCOTTSDALE PLASTICS, PLLC
Active
Other names
Scottsdale Plastics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT GRANILLO BONILLAS M.D. (OWNER/PHYSICIAN)
(480) 245-6380
Entity
Organization
Contact information
Practice address
9377 E BELL RD, SUITE 367, SCOTTSDALE, AZ 85260-1505
(480) 245-6380
(480) 245-6382
Mailing address
9377 E BELL RD, SUITE 367, SCOTTSDALE, AZ 85260-1505
(480) 245-6380
(480) 245-6382
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
40994
AZ
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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