Organization
ON-CALL SURGICAL ASSISTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY TROY HOLBERT PA-C (PHYSICIAN ASSISTANT/ PRESIDENT)
(623) 229-4674
Entity
Organization
Contact information
Practice address
5710 W SPUR DR, PHOENIX, AZ 85083-1245
(623) 229-4674
Mailing address
PO BOX 12546, GLENDALE, AZ 85318-2546
(623) 229-4674
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2021
AZ
Other
Enumeration date
02/08/2008
Last updated
08/19/2019
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