OrganizationActive
Enticare PC
NPI 1821853300 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Glendale, AZ
Provider details
- NPI number
- 1821853300
- Entity type
- Organization
- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Homan Mostafavi, Member Manager(480) 214-9000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
17215 N 72nd Dr Bldg D
Glendale, AZ 85308-8558
Phone: (480) 214-9000
Fax: (480) 214-9999
Approximate (ZIP-level) locationGet directions
Mailing address
2051 W Chandler Blvd Ste 5
Chandler, AZ 85224-6239
Registry dates
- Enumerated
- 2024-02-14
- Last updated
- 2024-02-14
- Certified
- 2024-02-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.