OrganizationActive
East Valley Pediatric Plastic Surgery, PLC
NPI 1205304995 · Plastic Surgery Physician · Mesa, AZ
Provider details
- NPI number
- 1205304995
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Workman, Business Manager(480) 658-0123
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1432 S Dobson Rd Ste 401
Mesa, AZ 85202-4777
Phone: (480) 658-0123
Fax: (480) 383-6429
Approximate (ZIP-level) locationGet directions
Mailing address
1900 W Carla Vista Dr # 6367
Chandler, AZ 85224-8201
Registry dates
- Enumerated
- 2018-11-12
- Last updated
- 2018-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.