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

Old Pueblo Plastic Surgery, PC

Organization Plastic and Reconstructive Surgery Physician · NPI 1972714392

Old Pueblo Plastic Surgery, PC is a Plastic and Reconstructive Surgery Physician in Tucson, 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

2385 N Ferguson Ave #101
Tucson, AZ 85712-2835
Phone: (520) 327-4514
Fax: (520) 327-8418
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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 13528 (AZ)

Record details

NPI number1972714392
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Collins — Surgeon · (520) 327-4514
NPI enumeratedMay 25, 2007
Last updated in NPPESAugust 22, 2020
Mailing address2385 N Ferguson Ave, 101, Tucson, AZ 85712-2835

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