Healthcare Provider Details

I. General information

NPI: 1942300785
Provider Name (Legal Business Name): SCALPEL ASSISTANTS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 05/21/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

475 S DOBSON RD
CHANDLER AZ
85224-5605
US

IV. Provider business mailing address

2113 E WILDHORSE DR
CHANDLER AZ
85286-1268
US

V. Phone/Fax

Practice location:
  • Phone: 480-728-3000
  • Fax:
Mailing address:
  • Phone: 480-545-2610
  • Fax: 480-545-2973

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SM0705X
TaxonomyMedical-Surgical Clinical Nurse Specialist
License NumberRN107166
License Number StateAZ

VIII. Authorized Official

Name: ARTHUR SMITH II
Title or Position: SOLE OWNER
Credential: RNFA
Phone: 480-545-2610