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

Prime Surgical Assisting, LLC

Organization Surgical Physician Assistant · NPI 1528013364

Prime Surgical Assisting, LLC is a Surgical Physician Assistant in Chandler, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
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

2905 W Warner Rd Ste 1
Chandler, AZ 85224-1674
Phone: (480) 603-9000
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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 · Licence P-1257205-6 (AZ)

Record details

NPI number1528013364
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Fullmer — Owner · (480) 216-2231
NPI enumeratedMay 23, 2006
Last updated in NPPESMarch 27, 2018
Mailing address3760 E Cotton Ct, Gilbert, AZ 85234-4330

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