Organization
OASIS SURGICAL ASSIST, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHEMUEL BENN PSALMS SA-C (OWNER/MANAGING MEMBER)
(520) 425-2599
Entity
Organization
Contact information
Practice address
3913 S 4TH AVE, TUCSON, AZ 85714-1527
(520) 425-2599
Mailing address
PO BOX 42437, TUCSON, AZ 85733-2437
(520) 425-2599
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09-138
LICENSE
AZ
Enumeration date
02/18/2009
Last updated
02/25/2014
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