Organization
SURGICAL ASSISTANT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE WHITE LSA (CEO)
(480) 241-9132
Entity
Organization
Contact information
Practice address
2408 E PALM BEACH DR, CHANDLER, AZ 85249-4668
(214) 227-2457
(214) 764-0880
Mailing address
PO BOX 938, ROWLETT, TX 75030-0938
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
09/13/2018
Last updated
02/06/2020
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