Organization
SURGICAL FIRST ASSISTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY CEMC PIMENTEL CNOR, RNFA (RNFA)
(541) 892-0981
Entity
Organization
Contact information
Practice address
10203 MERLIN WAY, KLAMATH FALLS, OR 97601-8691
(541) 892-0981
Mailing address
10203 MERLIN WAY, KLAMATH FALLS, OR 97601-8691
(541) 892-0981
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
200641523RN
OR
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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