Organization
PREMIER SURGICAL ASSIST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GENO ANTHONY SANTANGELO JR. PA (CO-OWNER)
(304) 389-7914
Entity
Organization
Contact information
Practice address
4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1311
(304) 389-7914
Mailing address
11157 CHARLESTON RD, RED HOUSE, WV 25168-7505
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
05/11/2020
Last updated
05/11/2020
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