Organization
MAFFI PLASTIC SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY R MAFFI M.D. (OWNER PHYSICIAN)
(480) 505-6430
Entity
Organization
Contact information
Practice address
5410 N SCOTTSDALE RD, SUITE E-200, PARADISE VALLEY, AZ 85253-5927
(480) 505-6430
(480) 505-6429
Mailing address
5410 N SCOTTSDALE RD, SUITE E-200, PARADISE VALLEY, AZ 85253-5927
(480) 505-6430
(480) 505-6429
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
32805
AZ
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
32805
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
868292
—
AZ
01
—
AZ0768540
BC OF AZ PROVIDER NUMBER
AZ
Enumeration date
05/19/2007
Last updated
03/13/2012
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