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
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