NPI 1790103455 · live from the CMS NPI Registry
A Cut Above Surgical Assisting LLC
Physician Assistant, Surgical in Broken Arrow, OK. National Provider Identifier 1790103455, active.
NPI record
| NPI | 1790103455 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Surgical 363AS0400X |
| Practice location | 6313 E Commercial St, Broken Arrow, OK 74014 |
| Practice phone | 918-595-2331 |
| Enumerated | March 31, 2014 |
| Last updated | March 31, 2014 |
| Authorized official | Katie Elliott, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Surgical primary | 363AS0400X | 140237 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.