Provider Demographics
NPI:1891995809
Name:SURGICAL ASSISTANT ASSOCIATES LLC
Entity Type:Organization
Organization Name:SURGICAL ASSISTANT ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:DOBBS
Authorized Official - Suffix:
Authorized Official - Credentials:CSA
Authorized Official - Phone:888-704-5080
Mailing Address - Street 1:690 ACOMA BLVD S
Mailing Address - Street 2:
Mailing Address - City:LAKE HAVASU CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86406-7715
Mailing Address - Country:US
Mailing Address - Phone:888-704-5080
Mailing Address - Fax:928-854-5081
Practice Address - Street 1:690 ACOMA BLVD S
Practice Address - Street 2:
Practice Address - City:LAKE HAVASU CITY
Practice Address - State:AZ
Practice Address - Zip Code:86406-7715
Practice Address - Country:US
Practice Address - Phone:888-704-5080
Practice Address - Fax:928-854-5081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-19
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1318246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Single Specialty