Provider Demographics
NPI:1801238498
Name:JDW FIRST ASSISTING SERVICES
Entity type:Organization
Organization Name:JDW FIRST ASSISTING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:CSFA
Authorized Official - Phone:520-204-1629
Mailing Address - Street 1:6336 N ORACLE RD # 326245
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-5480
Mailing Address - Country:US
Mailing Address - Phone:520-204-1629
Mailing Address - Fax:520-204-1629
Practice Address - Street 1:6336 N ORACLE RD # 326245
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-5480
Practice Address - Country:US
Practice Address - Phone:520-204-1629
Practice Address - Fax:520-204-1629
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JDW FIRST ASSISTING SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-07-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Single Specialty
No281P00000XHospitalsChronic Disease Hospital