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Organization

R.B. SURGICAL ASSISTANTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT L BODEN CSA (OWNER)
(502) 747-5632
Entity
Organization

Contact information

Practice address
320 SKYVIEW DR, PARIS, KY 40361-1039
(859) 514-6675
(859) 514-5962
Mailing address
PO BOX 5327, PARIS, KY 40362-5327
(859) 514-6675
(859) 514-5962

Taxonomy

Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
SA044
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000208713
ANTHEM
KY
01
1186178
CHA HEALTH
KY
01
20751
BLUEGRASS FAMILY HEALTH
KY
01
49-00060
UNITED HEALTHCARE
KY
01
7476361
AETNA
KY
Enumeration date
05/07/2007
Last updated
08/22/2020
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