Organization
HW SURGICAL ASSIST, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY MARK BYKER PA-C (OWNER/OPERATOR)
(616) 894-2441
Entity
Organization
Contact information
Practice address
4057 E LAUREL AVE, GILBERT, AZ 85234
(616) 894-2441
Mailing address
PO BOX 26904, PHOENIX, AZ 85068-6904
(480) 596-8525
(480) 596-8522
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
6403
AZ
Other
Enumeration date
05/07/2018
Last updated
07/03/2018
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