Organization
OCULOPLASTIC EYE SURGEONS OF PHOENIX P.L.C.
Active
Organization
OCULOPLASTIC EYE SURGEONS OF PHOENIX P.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA DIANNE MIHORA M.D. (OWNER)
(480) 788-1134
Entity
Organization
Contact information
Practice address
9151 W THUNDERBIRD RD # G104, PEORIA, AZ 85381-4906
(623) 522-8687
(623) 522-8683
Mailing address
9151 W THUNDERBIRD RD # G104, PEORIA, AZ 85381-4906
(480) 788-1134
(623) 522-8683
Taxonomy
Speciality
Code
Description
License number
State
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
44635
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143418
—
AZ
Enumeration date
02/23/2016
Last updated
08/24/2022
Update your record
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