Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

East Valley Pediatric Plastic Surgery, PLC

Organization Plastic Surgery Physician · NPI 1205304995

East Valley Pediatric Plastic Surgery, PLC provides Plastic Surgery Physician services in Mesa, Arizona. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

1432 S Dobson Rd Ste 401
Mesa, AZ 85202-4777
Phone: (480) 658-0123
Fax: (480) 383-6429
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X

Record details

NPI number1205304995
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Workman — Business Manager · (480) 658-0123
NPI enumeratedNovember 12, 2018
Last updated in NPPESNovember 12, 2018
Mailing address1900 W Carla Vista Dr # 6367, Chandler, AZ 85224-8201

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