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Organization
ELITE SURGICAL SERVICES, LLC
Active
Organization
ELITE SURGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ATALIA VIETOR (OWNER)
(602) 717-1547
Entity
Organization
Contact information
Practice address
14877 W BELL RD STE 101, SURPRISE, AZ 85374-7610
(602) 717-1547
Mailing address
17141 W SELDON LN, WADDELL, AZ 85355-7578
(602) 717-1547
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
—
NULL
163WG0000X
General Practice Registered Nurse
—
—
163WR0006X
Registered Nurse First Assistant
Primary
—
NULL
163WR0006X
Registered Nurse First Assistant
Primary
—
—
163WS0121X
Plastic Surgery Registered Nurse
—
NULL
163WS0121X
Plastic Surgery Registered Nurse
—
—
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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