| NPI | 1982764908 |
|---|---|
| Doing Business As | SURGICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | PHIL PARVIN Credential Specialist 304-237-9107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: WV 11126) |
| Additional Taxonomies | 174400000X Specialist (Licence: WV 10539) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2016-05-18 |