Healthcare Provider Details

I. General information

NPI: 1841137635
Provider Name (Legal Business Name): APEX SURGICAL ASSISTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21104 E REINS RD
QUEEN CREEK AZ
85142-3834
US

IV. Provider business mailing address

21104 E REINS RD
QUEEN CREEK AZ
85142-3834
US

V. Phone/Fax

Practice location:
  • Phone: 970-201-4384
  • Fax:
Mailing address:
  • Phone: 970-201-4384
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number
License Number State

VIII. Authorized Official

Name: KEITH WEISGERBER
Title or Position: CST/CSFA
Credential: NBSTSA CST/CSFA
Phone: 970-201-4384