is a Surgical in , . practices all healthcare services and medical treatments related to Surgical. The NPI Number for is 1235240946. The last update date is .
's current location address is , , . You can contact this provider via phone number . The mailing address for is , , . To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | , , |
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Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1235240946 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
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State | () |
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Provider's Primary Taxonomy Detail
Speciality | Surgical |
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Taxonomy | 363As0400X |
Licence No | PA03166 |
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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