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Organization
SURGICAL ASSISTANT SERVICES INC.
Active
Organization
SURGICAL ASSISTANT SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL STAFFORD C.S.A. (CERTIFIED SURGICAL FIRST ASSISTANT)
(901) 831-2500
Entity
Organization
Contact information
Practice address
5959 PARK AVE, MEMPHIS, TN 38119-5200
(901) 831-2500
(901) 853-3188
Mailing address
1016 W POPLAR AVE, SUITE 106, PMB 309, COLLIERVILLE, TN 38017-2600
(901) 831-2500
(901) 853-3188
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
NULL
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
12/11/2005
Last updated
05/07/2008
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