Organization · Type 2 NPI
Standard Surgical LLC
Surgical Physician Assistant · Litchfield Park, AZ
NPI number
1043750490
Active
Practice location
5115 N Dysart Rd Ste 202-197
Litchfield Park, AZ 85340-3032
Mailing address
PO Box 29650, Dept 880187
Phoenix, AZ 85038-9650
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
About NPI 1043750490
Standard Surgical LLC's National Provider Identifier is 1043750490, issued on Mar 5, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Litchfield Park, AZ. The record was last updated on Apr 20, 2018.