Organization
PREMIER SURGICAL FIRST ASSISTANT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK L CHANCE FA (PRESIDENT)
(913) 541-1228
Entity
Organization
Contact information
Practice address
15242 W 82ND TER, LENEXA, KS 66219-1501
(913) 541-1228
(913) 439-1942
Mailing address
15242 W 82ND TER, LENEXA, KS 66219-1501
(913) 541-1228
(913) 439-1942
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
KS
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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