Organization
ARIZONA ADVANCED SURGICAL ASSISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA FISHER (MANAGER)
(602) 826-5090
Entity
Organization
Contact information
Practice address
5235 E SOUTHERN AVE STE D106-440, MESA, AZ 85206-3626
(480) 205-9880
Mailing address
5235 E SOUTHERN AVE STE D106-440, MESA, AZ 85206-3626
(602) 826-5090
(480) 776-0046
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
Other
Enumeration date
06/18/2018
Last updated
04/03/2023
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