Provider Demographics
NPI:1114599693
Name:PRECISION SURGICAL ASSISTING
Entity Type:Organization
Organization Name:PRECISION SURGICAL ASSISTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN CERTIFIED FIRST ASSISTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:MARGARITA
Authorized Official - Last Name:BALDENEGRO
Authorized Official - Suffix:
Authorized Official - Credentials:RNFA, CSFA
Authorized Official - Phone:480-695-8139
Mailing Address - Street 1:2487 S GILBERT RD STE 106-125
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85295-2804
Mailing Address - Country:US
Mailing Address - Phone:480-695-8139
Mailing Address - Fax:480-219-5202
Practice Address - Street 1:2487 S GILBERT RD STE 106-125
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85295-2804
Practice Address - Country:US
Practice Address - Phone:480-695-8139
Practice Address - Fax:480-219-5202
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PRECISION SURGICAL ASSISTING
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-07-14
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Multi-Specialty