KTL Plastic Surgery

Plastic Surgery Physician · Phoenix, AZ

Organization Active NPI

NPI number 1053834739

Practice location

10910 N Tatum Blvd Ste B100
Phoenix, AZ 85028-3080
Phone
(631) 827-8159

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NPI record

NPI
1053834739
Entity type
Organization (Type 2)
Enumeration date
July 25, 2017
Last updated
July 21, 2022
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Plastic Surgery Physician Primary 208200000X — —

Authorized official

Name
Mathew James
Title
Patient Accounts
Phone
(631) 827-8159

About KTL Plastic Surgery

KTL Plastic Surgery is a healthcare organization registered in the NPI registry with the primary taxonomy Plastic Surgery Physician (code 208200000X). The practice location is 10910 N Tatum Blvd Ste B100, Phoenix, AZ 85028-3080. The NPI number 1053834739 was assigned on July 25, 2017 and the record was last updated on July 21, 2022.

The authorized official for this organization is Mathew James, Patient Accounts.

Frequently asked questions

What is the NPI number of KTL Plastic Surgery?

The NPI number is 1053834739.

What is the phone number of KTL Plastic Surgery?

The phone number listed for the practice location is (631) 827-8159.

Where is KTL Plastic Surgery located?

10910 N Tatum Blvd Ste B100, Phoenix, AZ 85028-3080.

What is the taxonomy code for KTL Plastic Surgery?

The primary taxonomy code is 208200000X – Plastic Surgery Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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