Provider Demographics
NPI:1851873178
Name:ARIZONA AESTHETIC ASSOCIATES
Entity Type:Organization
Organization Name:ARIZONA AESTHETIC ASSOCIATES
Other - Org Name:ARIZONA AESTHETIC ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SURGICAL ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MEAGHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:OLMSTEAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-377-3782
Mailing Address - Street 1:8595 E BELL RD STE 103
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-1306
Mailing Address - Country:US
Mailing Address - Phone:480-275-7800
Mailing Address - Fax:480-758-4587
Practice Address - Street 1:8595 E BELL RD STE 103
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-1306
Practice Address - Country:US
Practice Address - Phone:480-275-7800
Practice Address - Fax:480-758-4587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-04
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty