Plastic and Peripheral Nerve Surgery LLC

NPI #1760044325 in Sun Lakes, Arizona

Provider Information

NPI Number
1760044325
Entity Type
Organization
Organization Name
Plastic and Peripheral Nerve Surgery LLC
Primary Specialty
Surgery - Plastic and Reconstructive Surgery
Enumeration Date
Jul 3, 2019
Last Updated
Jul 18, 2019

Practice Location

Address
25229 S SUN LAKES BLVD STE 101
State
Arizona
ZIP Code
85248-6465
Phone
(480) 802-8511

Authorized Official

Name
SEAN WOLFORT, MD
Title
MEMBER
Phone
(480) 802-8511

Specialties & Taxonomy Codes

Specialty
Surgery - Plastic and Reconstructive SurgeryPlastic and Reconstructive Surgery

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