Organization
SCOR SURGICAL ASSISTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN CLAIRE O'HARA RNFA (OWNER)
(928) 607-0548
Entity
Organization
Contact information
Practice address
34905 N 27TH LN, PHOENIX, AZ 85086-6666
(928) 607-0548
Mailing address
34905 N 27TH LN, PHOENIX, AZ 85086-6666
(928) 607-0548
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN160969
AZ
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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