CERTIFIED SURGICAL FIRST ASSISTANT NPI 1457714388

NPI Information

NPI: 1457714388
Provider Name: CERTIFIED SURGICAL FIRST ASSISTANT
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
2925 E RIGGS RD
STE 8-166
CHANDLER, AZ
ZIP 85249
Phone: (480) 545-2610
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CERTIFIED SURGICAL FIRST ASSISTANT is a surgical physician assistant in Chandler, AZ. CERTIFIED SURGICAL FIRST ASSISTANT NPI is 1457714388. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2925 E RIGGS RD
STE 8-166
CHANDLER, AZ
ZIP 85249-600
Phone: (480) 545-2610
Fax: (480) 545-2673

The provider's authorized official is Kathleen E Bagwell .
The authorized official title is General Manager and has the following contact phone number (480) 545-2610.

The enumeration date for this NPI number is 3/29/2016 and was last updated on 1/11/2022.

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	246ZC0007X	Specialist/Technologist, Other	Surgical Assistant			No
2	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

NPI Synchronization or Removal

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