PHYSICIAN ASSISTANT - SURGICAL ASSIST LLC NPI 1942579750

NPI Information

PHYSICIAN ASSISTANT - SURGICAL ASSIST, LLC is a surgical physician assistant in Chandler, AZ. PHYSICIAN ASSISTANT - SURGICAL ASSIST, LLC NPI is 1942579750. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4980 S ALMA SCHOOL RD
A2-130
CHANDLER, AZ
ZIP 85248-545
Phone: (480) 215-3035

The provider's authorized official is Nicole Vincelette .
The authorized official title is Physician Assistant and has the following contact phone number (480) 215-3035.

The enumeration date for this NPI number is 12/22/2011 and was last updated on 12/22/2011.

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:

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