STANDARD SURGICAL LLC NPI 1043750490

NPI Information

NPI: 1043750490
Provider Name: STANDARD SURGICAL LLC
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
5115 N DYSART RD STE 202-197
LITCHFIELD PARK, AZ
ZIP 85340
Phone: (801) 647-5158
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STANDARD SURGICAL LLC is a surgical physician assistant in Litchfield Park, AZ. STANDARD SURGICAL LLC NPI is 1043750490. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5115 N DYSART RD STE 202-197
LITCHFIELD PARK, AZ
ZIP 85340-032
Phone: (801) 647-5158

The provider's authorized official is Elliot Steadman .
The authorized official title is Sole Member and has the following contact phone number (801) 647-5158.

The enumeration date for this NPI number is 3/5/2017 and was last updated on 4/20/2018.

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		ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	291199	MEDICAID	ARIZONA

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

NPI Synchronization or Removal

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