CC ASSISTANT SURGEON PLLC NPI 1316325012

NPI Information

NPI: 1316325012
Provider Name: CC ASSISTANT SURGEON, PLLC

Other Name: CLAUDIA YAMILETH COELLO-RASOUMOFF SA-C

Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
2803 E 5TH ST
TUCSON, AZ
ZIP 85716
Phone: (214) 227-2457
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CC ASSISTANT SURGEON, PLLC is a surgical physician assistant in Tucson, AZ. CC ASSISTANT SURGEON, PLLC NPI is 1316325012. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Claudia Yamileth Coello-rasoumoff Sa-c.

The provider's business location address is:

2803 E 5TH ST
TUCSON, AZ
ZIP 85716
Phone: (214) 227-2457
Fax: (214) 764-0880

The provider's authorized official is Claudia Y Coello-rasoumoff .
The authorized official title is Owner and has the following contact phone number (520) 780-6236.

The enumeration date for this NPI number is 5/13/2015 and was last updated on 10/6/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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