Organization · Type 2 NPI
Healthcare Surgical Assisting LLC
Surgical Physician Assistant · Leesburg, VA
NPI number
1053722173
Active
Practice location
704 Clark Ct NE Apt 204
Leesburg, VA 20176-4708
Mailing address
704 Clark Ct NE 204
Leesburg, VA 20176
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | SA0078 (DC) |
Surgical Physician Assistant: Definition to come...
About NPI 1053722173
Healthcare Surgical Assisting LLC's National Provider Identifier is 1053722173, issued on May 12, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Leesburg, VA. The record was last updated on May 12, 2014.