# KEYSTONE SURGICAL ASSISTANTS INC.

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

## Provider details

- **NPI number:** 1912344607
- **Authorized official:** MR. CHARLES A. JOBST III CSA (CERTIFIED SURGICAL ASSISTANT)
- **Authorized official phone:** (570) 417-8831

## Contact information

- **Practice address:** 200 S RIVER ST, PLAINS, PA 18705-1143
- **Practice address phone:** (570) 899-5605
- **Practice address fax:** (570) 821-1105
- **Mailing address:** 200 S RIVER ST, PLAINS, PA 18705-1143
- **Mailing address phone:** (570) 899-5605
- **Mailing address fax:** (570) 821-1105

## Taxonomy

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

## Other

- **Enumeration date:** 06/04/2013
- **Last updated:** 06/04/2013