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Organization
R.B. SURGICAL ASSISTANTS
Active
Organization
R.B. SURGICAL ASSISTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT L BODEN CSA (OWNER)
(502) 747-5632
Entity
Organization
Contact information
Practice address
320 SKYVIEW DR, PARIS, KY 40361-1039
(859) 514-6675
(859) 514-5962
Mailing address
PO BOX 5327, PARIS, KY 40362-5327
(859) 514-6675
(859) 514-5962
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
SA044
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000208713
ANTHEM
KY
01
—
1186178
CHA HEALTH
KY
01
—
20751
BLUEGRASS FAMILY HEALTH
KY
01
—
49-00060
UNITED HEALTHCARE
KY
01
—
7476361
AETNA
KY
Enumeration date
05/07/2007
Last updated
08/22/2020
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