Organization
SONORAN PLASTIC SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JUDE LABARBERA MD (MEMBER MANAGER)
(480) 676-4543
Entity
Organization
Contact information
Practice address
18325 N ALLIED WAY STE 120, PHOENIX, AZ 85054-3107
(000) 000-0000
Mailing address
18325 N ALLIED WAY STE 120, PHOENIX, AZ 85054-3107
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
06/27/2019
Last updated
08/29/2019
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