IndividualActive
Burt Faibisoff, MD
NPI 1730128695 · Plastic Surgery Physician · Prescott, AZ
Provider details
- NPI number
- 1730128695
- Entity type
- Individual
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 13213 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
810 Ainsworth Dr
Prescott, AZ 86301-1612
Phone: (928) 515-1155
Fax: (928) 460-5158
Approximate (ZIP-level) locationGet directions
Mailing address
1354 Autumn Walk
Prescott, AZ 86305-2112
Additional practice locations (6)
- 203 S Candy Ln # 14Cottonwood, AZ 86326-4120Phone: (928) 639-3387Fax: (928) 776-0405
- 2501 N Stockton Hill Rd Ste 108Kingman, AZ 86401-4140Phone: (928) 759-5800Fax: (928) 776-0405
- 2035 Mesquite AveSuite aLake Havasu City, AZ 86403Phone: (928) 680-7707Fax: (928) 680-7773
- 820 Ainsworth Dr Ste BPrescott, AZ 86301-1613Phone: (928) 777-5810Fax: (928) 776-0405
- 2820 N Glassford Hill Rd Ste 103Prescott Valley, AZ 86314-2256Phone: (928) 772-8553Fax: (928) 776-0405
- 2820 N Glassford Hill Rd Ste 107Prescott Valley, AZ 86314-2256Phone: (928) 772-8553Fax: (928) 776-0405
Registry dates
- Enumerated
- 2006-06-06
- Last updated
- 2025-11-10
- Certified
- 2025-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.