Organization
RRESCAMILLA SURGICAL ASSISTANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH MEYER (DIRECTOR OF OPERATIONS)
(480) 545-2610
Entity
Organization
Contact information
Practice address
3317 S HIGLEY RD STE 114-273, GILBERT, AZ 85297-5438
(480) 545-2610
Mailing address
3317 S HIGLEY RD STE 114-273, GILBERT, AZ 85297-5438
(480) 545-2610
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
14-590
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14-590
CERTIFICATION NUMBER
AZ
Enumeration date
05/13/2015
Last updated
05/13/2015
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