Organization · Type 2 NPI

Certified Surgical First Assistant

Surgical Physician Assistant · Chandler, AZ

NPI number 1457714388 Active

Practice location

2925 E Riggs Rd, Ste 8-166
Chandler, AZ 85249-3600

Fax (480) 545-2673

Specialties and licenses

TaxonomyCodeLicense
Surgical Assistant 246ZC0007XNone listed
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1457714388

Certified Surgical First Assistant's National Provider Identifier is 1457714388, issued on Mar 29, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Chandler, AZ. The record was last updated on Jan 11, 2022.