EASTERN SURGICAL ASSISTANTS, LLC
Organization (NPI-2)
Active
Physician Assistant, Surgical
Provider Information
- NPI Number
1053446708- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 16427 METRO AVE, BONNER SPRINGS, KS, 660127108
- Phone
- (240) 602-3922
Specialties & Taxonomies
Physician Assistant, Surgical
Primary License: MD #06-265
All Addresses
MAILING
PO BOX 587
BASEHOR, KS, 660070587