MR. Paul Daniel Ptak, SA-C, RSA
NPI #1730500760 in Cookeville, Tennessee
Provider Information
- NPI Number
- 1730500760
- Entity Type
- Individual
- Name
- MR. Paul Daniel Ptak, SA-C, RSA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist, Other - Surgical Assistant
- Credential
- SA-C, RSA
- Enumeration Date
- Dec 17, 2013
- Last Updated
- Oct 22, 2021
Practice Location
- Address
- 5300 CHERRY CREEK RD
- City
- Cookeville
- State
- Tennessee
- ZIP Code
- 38506-7007
- Phone
- (847) 494-1940
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other - Surgical Assistant — Surgical Assistant |
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Organizations
| Provider Name | |
|---|---|
| Tristar Surgical Services, LLC |
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