Organization Name: | CORNERSTONE FIRST ASSISTING |
NPI Number: | 1427441492 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SARAYA MARIE GUARIGLIA (SURGICAL FIRST ASSISTANT) |
Mailing Address: | 267 Countryshire Dr Lake St Louis |
State: | MO US |
Postal Code: | 633675823 |
Phone Number: | 6363451305 |
Fax Number: | |
NPI Enumeration Date: | 03/14/2015 |
NPI Last Update Date: | 03/20/2015 |
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: |