# SURGICAL ASSISTANT SERVICES INC.

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

## Provider details

- **NPI number:** 1376528554
- **Authorized official:** MR. MICHAEL STAFFORD C.S.A. (CERTIFIED SURGICAL FIRST ASSISTANT)
- **Authorized official phone:** (901) 831-2500

## Contact information

- **Practice address:** 5959 PARK AVE, MEMPHIS, TN 38119-5200
- **Practice address phone:** (901) 831-2500
- **Practice address fax:** (901) 853-3188
- **Mailing address:** 1016 W POPLAR AVE, SUITE 106, PMB 309, COLLIERVILLE, TN 38017-2600
- **Mailing address phone:** (901) 831-2500
- **Mailing address fax:** (901) 853-3188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 12/11/2005
- **Last updated:** 05/07/2008
