institution
Arizona Surgeons Assistant Pc
Surgical Physician Assistant in Phoenix, Arizona
NPI 1720305535

Arizona Surgeons Assistant Pc is a Surgical Physician Assistant based in Phoenix, AZ and is specialized in Surgical. Arizona Surgeons Assistant Pc practices in Phoenix, AZ. The NPI Number for Arizona Surgeons Assistant Pc is 1720305535 and holds a License No. 1013800 (Arizona).

The current practice location address for Arizona Surgeons Assistant Pc is 4369 E Hartford Ave, Phoenix, AZ and can be reached out via phone at 602-568-7294 and via fax at 602-867-4992.

Location: 4369 E Hartford Ave, Phoenix, AZ, 85032-2298
institution
Provider Profile Details
NPI Number
1720305535
Provider Name
Arizona Surgeons Assistant Pc
Credential
Provider Entity Type
Organization
Address
4369 E Hartford Ave, Phoenix, AZ, 85032-2298
Phone Number
602-568-7294
Fax Number
602-867-4992
Provider Enumeration Date
05/03/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1922 01 AZ AZ MEDICAL BOARD
Z138269 01 AZ MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
4369 E Hartford Ave
City
State
Zip
85032-2298
Phone Number
602-568-7294
Fax Number
602-867-4992
person
Provider Business Mailing Address Details
Address
4369 E Hartford Ave
City
State
Zip
85032-2298
Phone Number
602-568-7294
Fax Number
602-867-4992
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
1013800 (Arizona)
Definition
Definition to come...
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