Provider Demographics
NPI:1205936135
Name:AFFILIATED PLASTIC SURGEONS, LTD.
Entity type:Organization
Organization Name:AFFILIATED PLASTIC SURGEONS, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:TROJANOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-481-0133
Mailing Address - Street 1:10617 N HAYDEN RD
Mailing Address - Street 2:SUITE B-102
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-5578
Mailing Address - Country:US
Mailing Address - Phone:480-481-0133
Mailing Address - Fax:480-949-8198
Practice Address - Street 1:10617 N HAYDEN RD
Practice Address - Street 2:SUITE B-102
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-5578
Practice Address - Country:US
Practice Address - Phone:480-481-0133
Practice Address - Fax:480-949-8198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ13112174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZD00461Medicare UPIN