Organization
ORTHOPEDIC SURGERY ASSISTANTS, LLC
Active
Organization
ORTHOPEDIC SURGERY ASSISTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN P CANTWELL PAC (PAC, OWNER/MANAGER)
(602) 908-2025
Entity
Organization
Contact information
Practice address
9003 E SHEA BLVD, SCOTTSDALE, AZ 85260-6709
(602) 908-2025
Mailing address
20235 N CAVE CREEK RD, STE. 104-239, PHOENIX, AZ 85024-4424
(602) 908-2025
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
3145
AZ
Other
Enumeration date
05/12/2016
Last updated
08/24/2016
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