Healthcare Provider Details

I. General information

NPI: 1386767747
Provider Name (Legal Business Name): MARGARITA SARGENT CSFA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2007
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2013 VERDE RD
HAPPY JACK AZ
86024-8235
US

IV. Provider business mailing address

2013 VERDE RD
HAPPY JACK AZ
86024-8235
US

V. Phone/Fax

Practice location:
  • Phone: 480-329-2381
  • Fax:
Mailing address:
  • Phone: 480-329-2381
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number84271
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: