Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BURT I FAIBISOFF, MD
Active Sole ProprietorBURT I FAIBISOFF, MD is a Plastic Surgery healthcare provider located in PRESCOTT, Arizona. NPI 1730128695 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery · PRESCOTT, AZ
Registration Details
- NPI Number
- 1730128695
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 6, 2006 (20.045249659017 yrs)
- Last Updated
- Nov 10, 2025
- Licenses
-
13213 (AZ)13213 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
810 AINSWORTH DRPRESCOTT, AZ, 863011612Browse AZ providers · Browse ZIP 86301
- Phone
- 9285151155
- Fax
- 9284605158
- Primary Specialty
-
Plastic Surgery
208200000X
- Additional Specialty
- Plastic Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.