Creative Bespoke Az
Creative Bespoke Az is a Plastic Surgery Physician in Paradise Vly, Arizona. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
4808 E Moonlight WayParadise Vly, AZ 85253-2926
Phone: (631) 827-8159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Plastic Surgery Physician (primary) | Taxonomy 208200000X |
|---|
Record details
| NPI number | 1154889186 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mathew James — Patient Accounts · (631) 827-8159 |
| NPI enumerated | March 8, 2019 |
| Last updated in NPPES | March 8, 2019 |
| Mailing address | 4808 E Moonlight Way, Paradise Vly, AZ 85253-2926 |