OrganizationActive
Plastic and Peripheral Nerve Surgery LLC
NPI 1760044325 · Plastic and Reconstructive Surgery Physician · Sun Lakes, AZ
Provider details
- NPI number
- 1760044325
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sean Wolfort, Member(480) 802-8511
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
25229 S Sun Lakes Blvd Ste 101
Sun Lakes, AZ 85248-6465
Phone: (480) 802-8511
Fax: (480) 802-8129
Approximate (ZIP-level) locationGet directions
Mailing address
25229 S Sun Lakes Blvd Ste 101
Sun Lakes, AZ 85248-6465
Registry dates
- Enumerated
- 2019-07-03
- Last updated
- 2019-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.