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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