Organization
EADES PLASTIC SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD EADES MD (OWNER)
(520) 323-6994
Entity
Organization
Contact information
Practice address
2940 N SWAN RD, 130, TUCSON, AZ 85712-5637
(520) 323-6994
(520) 733-0787
Mailing address
2940 N SWAN RD STE 130, TUCSON, AZ 85712-6016
(520) 323-6994
(520) 733-0787
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
19656
AZ
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD19656
MEDICARE ID
—
Enumeration date
01/24/2011
Last updated
06/28/2021
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