Organization
PREMIER SURGICAL ASSISTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MACY JEPSEN SA-C (PRESIDENT)
(208) 241-0558
Entity
Organization
Contact information
Practice address
4602 E SENECA ST, TUCSON, AZ 85712-3272
(208) 241-0558
Mailing address
4602 E SENECA ST, TUCSON, AZ 85712-3272
(208) 241-0558
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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