is a Surgical in , . practices all healthcare services and medical treatments related to Surgical. The NPI Number for is 1245380559. 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
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| Address | , , |
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| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1245380559 |
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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 | 1397 |
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Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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