Organization
ADVANCED SURGICAL PHYSICIAN ASSISTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ANTHONY CHIECO PA-C (MEMBER)
(917) 428-1003
Entity
Organization
Contact information
Practice address
2925 E RIGGS RD, SUITE 8-114, CHANDLER, AZ 85249-3600
(917) 428-1003
Mailing address
2925 E RIGGS RD, SUITE 8-114, CHANDLER, AZ 85249-3600
(917) 428-1003
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
3400
AZ
Other
Enumeration date
05/09/2014
Last updated
06/07/2023
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