| Organization Name: | EASTERN SURGICAL ASSISTANTS, LLC |
| NPI Number: | 1053446708 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANDREW BURNETT (SURGICAL ASSISTANT - CERTIFIED) |
| Mailing Address: | 16427 Metro Ave Bonner Springs |
| State: | KS US |
| Postal Code: | 660127108 |
| Phone Number: | 2406023922 |
| Fax Number: | |
| NPI Enumeration Date: | 02/22/2007 |
| NPI Last Update Date: | 08/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 06-265 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |