Healthcare Provider Details

I. General information

NPI: 1447925698
Provider Name (Legal Business Name): MG PLASTIC SURGERY P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2021
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20201 N SCOTTSDALE HEALTHCARE DR STE 120
SCOTTSDALE AZ
85255-4135
US

IV. Provider business mailing address

20201 N SCOTTSDALE HEALTHCARE DR STE 120
SCOTTSDALE AZ
85255-4135
US

V. Phone/Fax

Practice location:
  • Phone: 480-805-3052
  • Fax: 480-805-2582
Mailing address:
  • Phone: 480-805-3052
  • Fax: 480-805-2582

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MANUEL GIGENA
Title or Position: PLASTIC SURGEON
Credential: MD
Phone: 503-883-3954