# ELITE SURGICAL SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114686045
- **Authorized official:** ATALIA VIETOR (OWNER)
- **Authorized official phone:** (602) 717-1547

## Contact information

- **Practice address:** 14877 W BELL RD STE 101, SURPRISE, AZ 85374-7610
- **Practice address phone:** (602) 717-1547
- **Mailing address:** 17141 W SELDON LN, WADDELL, AZ 85355-7578
- **Mailing address phone:** (602) 717-1547

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WG0000X | General Practice Registered Nurse | — | NULL | — |
| 163WG0000X | General Practice Registered Nurse | — | — | — |
| 163WR0006X | Registered Nurse First Assistant | — | NULL | Yes |
| 163WR0006X | Registered Nurse First Assistant | — | — | Yes |
| 163WS0121X | Plastic Surgery Registered Nurse | — | NULL | — |
| 163WS0121X | Plastic Surgery Registered Nurse | — | — | — |

## Other

- **Enumeration date:** 12/08/2021
- **Last updated:** 12/08/2021