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

Southern Arizona Plastic Surgery, PLLC

Organization Plastic Surgery Physician · NPI 1306645221

Southern Arizona Plastic Surgery, PLLC provides Plastic Surgery Physician services in Tucson, Arizona. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1104 N El Dorado Pl
Tucson, AZ 85715-4606
Phone: (520) 762-9777
Fax: (520) 666-3211
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Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X

Record details

NPI number1306645221
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wyatt Ho — Owner · (520) 762-9777
NPI enumeratedMarch 12, 2025
Last updated in NPPESMarch 12, 2025
Certification dateMarch 12, 2025
Mailing address1104 N El Dorado Pl, Tucson, AZ 85715-4606

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