| Organization Name: | ALLIED SURGICAL ASSISTANT PARTNERS PLLC |
| NPI Number: | 1053323451 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BONNIE J VAN DE WATER (BILLING ADMIN) |
| Mailing Address: | 13188 N 103rd Dr Ste 200 Sun City |
| State: | AZ US |
| Postal Code: | 853513066 |
| Phone Number: | 6232091212 |
| Fax Number: | 6238758761 |
| NPI Enumeration Date: | 08/13/2006 |
| NPI Last Update Date: | 12/07/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |