Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgical |
363AS0400X | 97 | Physician Assistant |
| NPI # | 1801960018 |
| LBN Legal business name | STAT SURGICAL ASSOC INC |
| Authorized official | DEBORAH COLN - (OFFICE MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/20/2006 |
| Last updated | 04/09/2008 - About 18 years ago |
| Identifiers | n/a |
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STAT SURGICAL ASSOC INC
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