Enticare Pc in Gilbert - Plastic Surgery Within The Head & Neck
Enticare Pc - NPI 1710014410
Enticare Pc is a Plastic Surgery Within The Head & Neck in Gilbert, Arizona. Enticare Pc practices all healthcare services and medical treatments related to Plastic Surgery Within The Head & Neck. The NPI Number for Enticare Pc is 1710014410. The last update date is 2015-10-15.
Enticare Pc's current location address is 3420 S Mercy Rd, Gilbert, Arizona. You can contact this provider via phone number 4802149000 and fax number 4802149999. The mailing address for Enticare Pc is 3420 S Mercy Rd, Gilbert, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Enticare Pc |
|---|---|
| Address | 3420 S Mercy Rd, Gilbert, Arizona |
| Phone Number | 4802149000 |
| Fax Number | 4802149999 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIANO |
|---|---|
| Authorized Official Name | Mostafavi Homan |
| Credentials | D.O. |
| Telephone Number | 4802149000 |
NPI Number Detail
| NPI Number | 1710014410 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2015-10-15 |
Provider Mailing Address Detail
| Address | 3420 S Mercy Rd |
|---|---|
| City | Gilbert |
| State | Arizona (AZ) |
| Post Code | 852970419 |
| Phone Number | 4802149000 |
| Fax Number | 4802149999 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery Within The Head & Neck |
|---|---|
| Taxonomy | 207Yx0007X |
| Licence No | 4520 |
|
Definition: An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissu |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4520 | AZ | AZ LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Enticare Pc by the Centers for Medicare & Medicaid Services?
The Enticare Pc has been assigned the NPI (National Provider Identifier) 1710014410 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Enticare Pc's facilities are situated?
The facilities of Enticare Pc are physically located at the following address: 3420 S Mercy Rd, Gilbert, AZ, 852970419.
What is the Enticare Pc's specialty and taxonomy code?
The Enticare Pc's specialty is Plastic Surgery Within The Head & Neck, and the corresponding taxonomy code is 207Yx0007X.
On what date was the 1710014410 assigned to Enticare Pc?
The Enticare Pc was issued its 1710014410 on 2007-02-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Enticare Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Enticare Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-10-15.