Organization
ARIZONA SURGEON ASSISTANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAITHAM HANNA PA-C (PHYSICIAN ASSISTANT)
(602) 616-9982
Entity
Organization
Contact information
Practice address
2000 E SOUTHERN AVE, #105, TEMPE, AZ 85282-7510
(480) 820-0627
(480) 820-4840
Mailing address
2000 E SOUTHERN AVE, #105, TEMPE, AZ 85282-7510
(480) 820-0627
(480) 820-4840
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1922
AZ
Other
Enumeration date
02/15/2007
Last updated
08/22/2020
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