Organization
ARIZONA CRANIOFACIAL & PLASTIC SURGERY CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER ALENE WALLIS (OFFICE MANAGER)
(480) 905-9211
Entity
Organization
Contact information
Practice address
15721 N GREENWAY HAYDEN LOOP, #201, SCOTTSDALE, AZ 85260-1650
(480) 905-9211
(480) 905-0504
Mailing address
15721 N GREENWAY HAYDEN LOOP, #201, SCOTTSDALE, AZ 85260-1650
(480) 905-9211
(480) 905-0504
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
23958
AZ
Other
Enumeration date
05/23/2007
Last updated
06/22/2008
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