Organization
PRIMARY SURGICAL FIRST ASSISTING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN S FISHER CST/CSFA (PRESIDENT)
(913) 205-5735
Entity
Organization
Contact information
Practice address
823 N MUR LEN RD APT 201, OLATHE, KS 66062-5456
(913) 205-5735
(888) 329-6432
Mailing address
823 N MUR LEN RD APT 201, OLATHE, KS 66062-5456
(913) 205-5735
(888) 329-6432
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
238.000249
IL
Other
Enumeration date
10/15/2007
Last updated
10/04/2012
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