Organization
SURGEASSIST, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE SILVA (PAMS NPI ADMINISTRATOR)
(210) 598-4287
Entity
Organization
Contact information
Practice address
125 N 2ND ST STE 110, #443, PHOENIX, AZ 85004-2427
(602) 338-9745
Mailing address
125 N 2ND ST STE 110, #443, PHOENIX, AZ 85004-2427
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
03/16/2017
Last updated
09/18/2017
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