Organization
NORAZ SURGICAL ASSISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL PACKARD CSFA (OWNER)
(928) 699-6786
Entity
Organization
Contact information
Practice address
50 PINE DEL DR, FLAGSTAFF, AZ 86005-9603
(928) 699-6786
Mailing address
50 PINE DEL DR, FLAGSTAFF, AZ 86005-9603
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
09/19/2015
Last updated
09/19/2015
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