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Individual

MAEGAN R SAVAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNIM, LSA, CSFA, CST

Contact information

Practice address
14008 N 52ND AVE, GLENDALE, AZ 85306-4813
(817) 851-5517
Mailing address
14008 N 52ND AVE, GLENDALE, AZ 85306-4813
(817) 851-5517

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
113405
TX
246ZC0007X
Surgical Assistant
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
3853
TX
246ZS0410X
Surgical Technologist
113405
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
113405
THE NATIONAL BOARD OF SURGICAL TECHNOLOGY AND SURGICAL ASSISTING
TX
01
3853
ABRET
TX
Enumeration date
03/03/2009
Last updated
07/05/2024
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