Organization · Type 2 NPI
Physician Assistant Surgical Specialists
Surgical Physician Assistant · Las Vegas, NV
NPI number
1093046963
Active
Practice location
8979 Haviland Rd
Las Vegas, NV 89123-0617
Fax (702) 614-4179
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
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About NPI 1093046963
Physician Assistant Surgical Specialists's National Provider Identifier is 1093046963, issued on Jan 16, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Las Vegas, NV. The record was last updated on Jan 16, 2010.