Organization · Type 2 NPI

Genesis Surgical Assisting LLC

Surgical Physician Assistant · Meridian, ID

NPI number 1265829303 Active

Practice location

348 W Bloomington Dr
Meridian, ID 83642-6942

Specialties and licenses

TaxonomyCodeLicense
Surgical Assistant 246ZC0007X116257 (ID)
Surgical Physician Assistant Primary 363AS0400X116257 (ID)

Surgical Physician Assistant: Definition to come...

Another provider at this address

About NPI 1265829303

Genesis Surgical Assisting LLC's National Provider Identifier is 1265829303, issued on Apr 15, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Meridian, ID. The record was last updated on Jun 18, 2015.