Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgical |
363AS0400X | 97 | Physician Assistant |
| NPI Number | 1760820542 |
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| LBN Legal business name | 3RD HAND SURGICAL ASSIST LLC | ||||
| Authorized official | PATRICIA HENDERSON - (MEMBER OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 06/13/2013 | ||||
| Last updated | 01/14/2016 - About 10 years ago | ||||
| Identifiers |
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