REVITALIS LLC

Plastic Surgery within the Head & Neck (Otolaryngology) Physician · SCOTTSDALE, AZ

Organization Active NPI 1710788294

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Plastic Surgery within the Head & Neck (Otolaryngology) Physician207YX0007X
Facial Plastic Surgery Physician207YS0123X
Otolaryngology/Facial Plastic Surgery Physician207YX0905X

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.