Organization
YOUR EXTRA HANDS SURGICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ATWATER MD (OWNER)
(309) 846-4716
Entity
Organization
Contact information
Practice address
1355 37TH ST STE 302, VERO BEACH, FL 32960-7320
(772) 569-3011
(772) 569-3036
Mailing address
1604 VISA DR STE 1, NORMAL, IL 61761-2195
(309) 684-2329
(309) 454-7348
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
05/10/2016
Last updated
10/19/2018
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