Organization
TRISTAR SURGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL DANIEL PTAK SA-C, RSA (PRESIDENT)
(847) 494-1940
Entity
Organization
Contact information
Practice address
5300 CHERRY CREEK RD, COOKEVILLE, TN 38506-7007
(847) 494-1940
Mailing address
5300 CHERRY CREEK RD, COOKEVILLE, TN 38506-7007
(847) 494-1940
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
238000411
IL
Other
Enumeration date
04/17/2015
Last updated
09/06/2023
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