Supernova Consulting LLC
Supernova Consulting LLC is a Plastic Surgery Physician in Phoenix, Arizona. Works from 2 locations. Registered with an NPI since 2019.
- In the registry since
- 2019
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4550 E Bell Rd Ste 150Phoenix, AZ 85032-9382
Phone: (480) 576-4310
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 10910 N Tatum Blvd Ste B100, Phoenix, AZ 85028-3080 — (480) 291-6895
Specialties & licences
| Plastic Surgery Physician (primary) | Taxonomy 208200000X |
|---|
Record details
| NPI number | 1205486800 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tim Matatov — Ceo · (480) 576-4310 |
| NPI enumerated | September 16, 2019 |
| Last updated in NPPES | April 26, 2021 |
| Certification date | April 26, 2021 |
| Mailing address | 4550 E Bell Rd Ste 150, Phoenix, AZ 85032-9382 |
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