Physician Assistant - Surgical Assist, LLC

NPI #1942579750 in Chandler, Arizona

Provider Information

NPI Number
1942579750
Entity Type
Organization
Organization Name
Physician Assistant - Surgical Assist, LLC
Primary Specialty
Physician Assistant - Surgical
Enumeration Date
Dec 22, 2011
Last Updated
Dec 22, 2011

Practice Location

Address
4980 S ALMA SCHOOL RD
Address 2
A2-130
State
Arizona
ZIP Code
85248-5545
Phone
(480) 215-3035

Authorized Official

Name
MS. NICOLE VINCELETTE, PA
Title
PHYSICIAN ASSISTANT
Phone
(480) 215-3035

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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