PRIME SURGICAL ASSISTING LLC NPI 1528013364

NPI Information

NPI: 1528013364
Provider Name: PRIME SURGICAL ASSISTING, LLC
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
2905 W WARNER RD STE 1
CHANDLER, AZ
ZIP 85224
Phone: (480) 603-9000
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PRIME SURGICAL ASSISTING, LLC is a surgical physician assistant in Chandler, AZ. PRIME SURGICAL ASSISTING, LLC NPI is 1528013364. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2905 W WARNER RD STE 1
CHANDLER, AZ
ZIP 85224-674
Phone: (480) 603-9000

The provider's authorized official is Gary Trent Fullmer .
The authorized official title is Owner and has the following contact phone number (480) 216-2231.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 3/27/2018.

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	P-1257205-6	ARIZONA	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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