NPI | 1528769098 |
---|---|
Doing Business As | SURGICAL PA, LLC |
Entity Type | Organization |
Authorized Contact | KELLEE K BRADY Owner 253-888-9077 |
Organization Subpart ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
Enumeration Date | 2023-03-13 |
Last Update Date | 2023-08-08 |