Organization
ARIZONA SURGICAL ASSISTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK MITCHELL PA-C (OWNER/MANAGER)
(480) 256-1518
Entity
Organization
Contact information
Practice address
5555 W THUNDERBIRD RD, GLENDALE, AZ 85306-4622
(623) 865-5555
(480) 478-6628
Mailing address
8424 E SHEA BLVD, #101, SCOTTSDALE, AZ 85260-6662
(480) 256-1518
(480) 478-6628
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
3740
AZ
Other
Enumeration date
07/10/2014
Last updated
12/19/2014
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