Organization
ROCK CANYON FIRST ASSISTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKI NICHOLS (OWNER)
(520) 577-0293
Entity
Organization
Contact information
Practice address
5055 N ROCK CANYON RD, TUCSON, AZ 85750-6003
(520) 577-0293
Mailing address
5055 N ROCK CANYON RD, TUCSON, AZ 85750-6003
(520) 577-0293
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
02/01/2018
Last updated
02/01/2018
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