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NPI Code Detail

MEDICARE: DR. SALVATORE C LETTIERI M.D.

MEDICARE: DR. SALVATORE C LETTIERI M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208200000XPlastic Surgery Physician28021AZ
2208200000XPlastic Surgery Physician32683MN

General Provider Information

NPI Number : 1033291042
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SALVATORE C LETTIERI M.D.
Provider Business Mailing Address
First Line : 5777 E MAYO BLVD
Second Line :
City : PHOENIX
State : AZ
Zip : 85054-4502
Country : US
Telephone Number : 480-301-8000
Fax Number :
Provider Business Practice Location Address
First Line : 5777 E MAYO BLVD
Second Line :
City : PHOENIX
State : AZ
Zip : 85054-4502
Country : US
Telephone Number : 480-301-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2006
Last Update Date : 05/04/2026

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