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Organization

SURGICAL PHYSICIAN ASSISTANT SERVICES INCORPORATED

Active
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Organization

SURGICAL PHYSICIAN ASSISTANT SERVICES INCORPORATED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PETER MATTHEW MAZZARESE PA (OWNER)
(858) 943-1588
Entity
Organization

Contact information

Practice address
839 VIA BARQUERO, SAN MARCOS, CA 92069-7395
(858) 349-1588
Mailing address
839 VIA BARQUERO, SAN MARCOS, CA 92069-7395
(858) 349-1588

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
09/10/2008
Last updated
01/05/2011
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