Organization
VALLEY PLASTIC SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE J SANNIEC MD (SOLE MEMBER)
(602) 376-8638
Entity
Organization
Contact information
Practice address
1121 S GILBERT RD STE 102, MESA, AZ 85204-5235
(602) 786-1144
Mailing address
PO BOX 94765, PHOENIX, AZ 85070-4765
(602) 376-8638
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
03/17/2023
Last updated
11/17/2025
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