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

Southern Arizona Plastic Surgery, PLLC

Organization Plastic Surgery Physician · NPI 1306645221

Southern Arizona Plastic Surgery, PLLC is a Plastic Surgery Physician in Tucson, Arizona. Registered with an NPI since 2025.

In the registry since
2025
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

1104 N El Dorado Pl
Tucson, AZ 85715-4606
Phone: (520) 762-9777
Fax: (520) 666-3211
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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 number1306645221
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wyatt Ho — Owner · (520) 762-9777
NPI enumeratedMarch 12, 2025
Last updated in NPPESMarch 12, 2025
Certification dateMarch 12, 2025
Mailing address1104 N El Dorado Pl, Tucson, AZ 85715-4606

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