| NPI | 1699595827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANKIE BAHTISHI Certified Surgical First Assistant 719-460-7294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2024-10-14 |
| Last Update Date | 2024-10-14 |