| NPI | 1255003455 |
|---|---|
| Doing Business As | ICON SURGICAL |
| Entity Type | Organization |
| Authorized Contact | PAMELA CLAY Administrator 888-265-9908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2024-03-01 |