Organization
MARICOPA SURGICAL ASSIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW CRAIG LEWIS CSA (SURGICAL FIRST ASSIST)
(602) 882-3439
Entity
Organization
Contact information
Practice address
19829 N 27TH AVE, PHOENIX, AZ 85027-4001
(623) 879-6100
Mailing address
PO BOX 39179, PHOENIX, AZ 85069-9179
(602) 395-0718
(602) 277-8146
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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