Organization
NORTHSHORE SURGICAL ASSISTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA DICKENS CSFA (CERTIFIED SURGICAL FIRST ASSISTANT)
(985) 707-3017
Entity
Organization
Contact information
Practice address
70458 SILAS THOMAS RD, PEARL RIVER, LA 70452-2460
(985) 707-3017
Mailing address
70458 SILAS THOMAS RD, PEARL RIVER, LA 70452
(985) 707-3017
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
123842
LA
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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