Provider Demographics
NPI:1700555414
Name:SURGICAL ASSISTING SERVICES, LLC
Entity Type:Organization
Organization Name:SURGICAL ASSISTING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED SURGICAL FIRST ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:FLYNN
Authorized Official - Suffix:
Authorized Official - Credentials:CSFA
Authorized Official - Phone:520-991-4071
Mailing Address - Street 1:PO BOX 68339
Mailing Address - Street 2:
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85737-8339
Mailing Address - Country:US
Mailing Address - Phone:520-991-4071
Mailing Address - Fax:
Practice Address - Street 1:11248 N PLATTE DR
Practice Address - Street 2:
Practice Address - City:ORO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85737-6521
Practice Address - Country:US
Practice Address - Phone:520-991-4071
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-07
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Multi-Specialty