Organization
P G SURGICAL ASSISTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA GRAVES CST ASC (PRESIDENT)
(207) 893-1167
Entity
Organization
Contact information
Practice address
64 HURRICANE RD, GORHAM, ME 04038-2484
(207) 893-1167
(888) 329-6432
Mailing address
64 HURRICANE RD, GORHAM, ME 04038-2484
(207) 893-1167
(888) 329-6432
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
ME
Other
Enumeration date
06/29/2007
Last updated
08/22/2020
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