Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgical |
363AS0400X | 97 | Physician Assistant | |
Surgical Assistant |
246ZC0007X |
| NPI # | 1487066072 |
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| LBN Legal business name | A THIRD HAND | ||||||||
| Authorized official | RONALD MOON - (OWNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 05/30/2014 | ||||||||
| Last updated | 06/22/2018 - About 8 years ago | ||||||||
| Identifiers |
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A THIRD HAND
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