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

Phoenix Plastic Surgery, PLLC

Organization Plastic and Reconstructive Surgery Physician · NPI 1508421819

Phoenix Plastic Surgery, PLLC is a Plastic and Reconstructive Surgery Physician in Phoenix, Arizona. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9250 N 3rd St Ste 1003
Phoenix, AZ 85020-2402
Phone: (602) 331-7811
Fax: (833) 807-8800
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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

Record details

NPI number1508421819
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roni Prucz — Managing Partner · (480) 625-0003
NPI enumeratedMay 2, 2019
Last updated in NPPESMay 2, 2019
Mailing address7575 E Redfield Rd Ste 235, Scottsdale, AZ 85260-3929

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