MARICOPA SURGICAL ASSIST NPI 1265031108

NPI Information

NPI: 1265031108
Provider Name: MARICOPA SURGICAL ASSIST
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
19829 N 27TH AVE
PHOENIX, AZ
ZIP 85027
Phone: (623) 879-6100
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MARICOPA SURGICAL ASSIST is a surgical physician assistant in Phoenix, AZ. MARICOPA SURGICAL ASSIST NPI is 1265031108. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

19829 N 27TH AVE
PHOENIX, AZ
ZIP 85027-001
Phone: (623) 879-6100

The provider's authorized official is Matthew Craig Lewis .
The authorized official title is Surgical First Assist and has the following contact phone number (602) 882-3439.

The enumeration date for this NPI number is 10/21/2020 and was last updated on 10/21/2020.

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: 11/14/2023

NPI Synchronization or Removal

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