NPI 1013418342

Ivan Graciano, SURGICALASSISTANT

Practitioner Surgical Assistant Yuma, AZ

Practice location

Address: 2911 S 8th Ave, Yuma, AZ 85364-8000
Phone: (928) 783-3050
Fax: (928) 783-3050

Registered specialties

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X Licence R16-0201A (AZ)

Other Specialist/Technologist, Other providers in Arizona →

Registry record

NPI: 1013418342
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Feb 2018
Record last updated: 22 Feb 2018

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.