P G Surgical Assisting LLC

NPI #1013114289 in Gorham, Maine

Provider Information

NPI Number: 1013114289
Entity Type: Organization
Organization Name: P G Surgical Assisting LLC
Primary Specialty: Specialist/Technologist, Other - Surgical Technologist
Enumeration Date: Jun 29, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 64 HURRICANE RD
City: Gorham
State: Maine
ZIP Code: 04038-2484
Phone: (207) 893-1167

Authorized Official

Name: PAMELA GRAVES, CST ASC
Title: PRESIDENT
Phone: (207) 893-1167

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist, Other - Surgical Technologist — Surgical Technologist	246ZS0410X	Primary

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