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

East Valley Pediatric Plastic Surgery, PLC

Organization Plastic Surgery Physician · NPI 1205304995

East Valley Pediatric Plastic Surgery, PLC is a Plastic Surgery Physician in Mesa, Arizona. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

1432 S Dobson Rd Ste 401
Mesa, AZ 85202-4777
Phone: (480) 658-0123
Fax: (480) 383-6429
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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 number1205304995
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Workman — Business Manager · (480) 658-0123
NPI enumeratedNovember 12, 2018
Last updated in NPPESNovember 12, 2018
Mailing address1900 W Carla Vista Dr # 6367, Chandler, AZ 85224-8201

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