Organization · Type 2 NPI
Eastern Surgical Assistants, LLC
Surgical Physician Assistant · Bonner Springs, KS
NPI number
1053446708
Active
Practice location
16427 Metro Ave
Bonner Springs, KS 66012-7108
Mailing address
PO Box 587
Basehor, KS 66007-0587
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 06-265 (MD) |
Surgical Physician Assistant: Definition to come...
About NPI 1053446708
Eastern Surgical Assistants, LLC's National Provider Identifier is 1053446708, issued on Feb 22, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bonner Springs, KS. The record was last updated on Aug 27, 2012.