Organization
JKD CSFA LLC
Active
Organization
JKD CSFA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON DIAS (SURGICAL FIRST ASSIST)
(808) 348-9904
Entity
Organization
Contact information
Practice address
2775 ATHENS RIDGE DR, HENDERSON, NV 89052-4298
(808) 348-9904
Mailing address
PO BOX 777355, HENDERSON, NV 89077-7355
(808) 348-9893
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
07/17/2024
Last updated
07/25/2024
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