Organization
RINCON SURGICAL FIRST ASSISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW PECKHAM RNFA (SOLE PROPRIETER)
(520) 940-4483
Entity
Organization
Contact information
Practice address
5433 E 8TH ST, TUCSON, AZ 85711-3108
(520) 940-4483
Mailing address
PO BOX 14302, TUCSON, AZ 85732-4302
(520) 940-4483
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN143598
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851673128
PERSONAL NPI
AZ
Enumeration date
03/19/2013
Last updated
03/19/2013
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