Organization
KMA SURGICAL ASSIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATHEW JAMES (PATIENT ACCOUNTS)
(631) 827-8159
Entity
Organization
Contact information
Practice address
901 E JEFFERSON ST, PHOENIX, AZ 85034-2219
(631) 827-8159
Mailing address
901 E JEFFERSON ST, PHOENIX, AZ 85034-2219
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
—
—
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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