Organization
EMPAC SURGICAL SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMILE MANANSALA PA-C (PA-C)
(602) 717-6779
Entity
Organization
Contact information
Practice address
1800 E VAN BUREN ST, PHOENIX, AZ 85006-3742
(480) 256-1518
Mailing address
271 E SPUR AVE, GILBERT, AZ 85296-2239
(602) 717-6779
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2356
AZ
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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