NPI 1538781703

Premier Surgical Assist, INC.

Organisation Surgery Physician South Charleston, WV

Practice location

Address: 4605 Maccorkle Ave SW, South Charleston, WV 25309-1311
Phone: (304) 389-7914
Mailing address: 11157 Charleston Rd, Red House, WV 25168-7505

Authorised official

Name: Geno Anthony Santangelo
Title: Co-Owner
Phone: (304) 389-7914

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X

Other Surgery providers in West Virginia →

Registry record

NPI: 1538781703
Entity type: Organization
NPI issued: 11 May 2020
Record last updated: 11 May 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.