Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Phantom Surgical LLC

Organization Surgical Physician Assistant · NPI 1063386332

Phantom Surgical LLC is a Surgical Physician Assistant in Phoenix, Arizona. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19820 N 7th St Ste 208
Phoenix, AZ 85024-1694
Phone: (480) 773-1803
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1063386332
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brett McLaughlin — Director · (480) 773-1803
NPI enumeratedSeptember 30, 2025
Last updated in NPPESSeptember 30, 2025
Certification dateSeptember 30, 2025
Mailing addressPo Box 41340, Phoenix, AZ 85080-1340

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