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Organization

SIERRA SURGICAL ASSISTING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL JACKSON C.S.A. (PRESIDENT)
(775) 250-1564
Entity
Organization

Contact information

Practice address
2739 CHAVEZ DR, RENO, NV 89502-4982
(775) 250-1564
(775) 828-0580
Mailing address
PO BOX 70303, RENO, NV 89570-0303
(775) 250-1564
(775) 828-0580

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
1700
DC

Other

Enumeration date
12/09/2014
Last updated
12/09/2014
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