Organization · Type 2 NPI

Countryside Ambulatory Surg Center

Ambulatory Surgical Clinic/Center · Leesburg, VA

NPI number 1073534012 Active

Practice location

44045 Riverside Pkwy
Leesburg, VA 20176-5101

Mailing address

4 Pidgeon Hill Dr
Sterling, VA 20165-6101

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XOH 652 (VA)

Ambulatory Surgical Clinic/Center: Definition to come...

203 other providers at this address

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About NPI 1073534012

Countryside Ambulatory Surg Center's National Provider Identifier is 1073534012, issued on Jul 23, 2006. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Leesburg, VA. The record was last updated on Aug 22, 2020.