Organization
FIRST ASSIST SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN DUGGINS (OWNER)
(408) 656-9049
Entity
Organization
Contact information
Practice address
221 BROOKE ACRES DR, LOS GATOS, CA 95032-6462
(408) 656-9049
(408) 879-6204
Mailing address
405 SUNOL ST, SAN JOSE, CA 95126-3750
(408) 656-9049
(408) 879-6204
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
CA
363A00000X
Physician Assistant
—
CA
363AS0400X
Surgical Physician Assistant
—
CA
363L00000X
Nurse Practitioner
Primary
257522-4568
CA
363L00000X
Nurse Practitioner
—
CA
Other
Enumeration date
06/03/2011
Last updated
04/02/2014
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