Organization
CC ASSISTANT SURGEON, PLLC
Active
Other names
Claudia Yamileth Coello-Rasoumoff SA-C
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDIA Y COELLO-RASOUMOFF SA-C (OWNER)
(520) 780-6236
Entity
Organization
Contact information
Practice address
2803 E 5TH ST, TUCSON, AZ 85716
(214) 227-2457
(214) 764-0880
Mailing address
PO BOX 2550, ROWLETT, TX 75030-2550
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
05/13/2015
Last updated
10/06/2020
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