Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ahwatukee Foothills Plastic Surgery PC

Organization Plastic and Reconstructive Surgery Physician · NPI 1568685477

Ahwatukee Foothills Plastic Surgery PC is a Plastic and Reconstructive Surgery Physician in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15810 S 45th St Ste 140
Phoenix, AZ 85048-7697
Phone: (480) 759-3001
Fax: (480) 759-1341
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 17174 (AZ)

Record details

NPI number1568685477
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Todd Farnworth — President · (480) 759-3001
NPI enumeratedApril 10, 2007
Last updated in NPPESMarch 5, 2009
Mailing address15810 S 45th St, Suite 140, Phoenix, AZ 85048-7697

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