Provider Demographics
NPI:1427441492
Name:CORNERSTONE FIRST ASSISTING
Entity type:Organization
Organization Name:CORNERSTONE FIRST ASSISTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SURGICAL FIRST ASSISTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:SARAYA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:GUARIGLIA
Authorized Official - Suffix:
Authorized Official - Credentials:CSFA
Authorized Official - Phone:636-345-1305
Mailing Address - Street 1:267 COUNTRYSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:LAKE ST LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63367-5823
Mailing Address - Country:US
Mailing Address - Phone:636-345-1305
Mailing Address - Fax:
Practice Address - Street 1:267 COUNTRYSHIRE DR
Practice Address - Street 2:
Practice Address - City:LAKE ST LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63367-5823
Practice Address - Country:US
Practice Address - Phone:636-345-1305
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-14
Last Update Date:2015-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Single Specialty