OrganizationActive
Creative Bespoke Az
NPI 1154889186 · Plastic Surgery Physician · Paradise Vly, AZ
Provider details
- NPI number
- 1154889186
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mathew James, Patient Accounts(631) 827-8159
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4808 E Moonlight Way
Paradise Vly, AZ 85253-2926
Phone: (631) 827-8159
Approximate (ZIP-level) locationGet directions
Mailing address
4808 E Moonlight Way
Paradise Vly, AZ 85253-2926
Registry dates
- Enumerated
- 2019-03-08
- Last updated
- 2019-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.