Organization
SURGICAL ASSISTANT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE WHITE (CEO)
(480) 358-8374
Entity
Organization
Contact information
Practice address
2408 E PALM BEACH DR, CHANDLER, AZ 85249-4668
(480) 358-8374
Mailing address
123 W CHANDLER HEIGHTS RD UNIT 13132, CHANDLER, AZ 85248-1087
(480) 358-8374
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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