Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SOUTHEAST FIRST ASSISTANT LLC
Active OrganizationSOUTHEAST FIRST ASSISTANT LLC is a Surgical Physician Assistant organization located in ATHOL, Idaho. NPI 1790158459 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · ATHOL, ID
Registration Details
- NPI Number
- 1790158459
- Provider Type
- Organization
- NPI Issued
- Nov 3, 2015 (10.776965849376 yrs)
- Last Updated
- Nov 3, 2015
- Licenses
-
PA-1167 (ID)PA-1167 (ID)
Practice Information
- Address
-
12473 E NUNN RDATHOL, ID, 838019311Browse ID providers · Browse ZIP 83801
- Phone
- 2082156411
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.