Organization · Type 2 NPI

Specialty Physicians of Northern Virginia, LLC

Surgery Physician · Dulles, VA

NPI number 1114157054 Active

Practice location

24430 Stone Springs Blvd
Dulles, VA 20166-2267

Call (703) 665-2430 Map

Mailing address

2000 Health Park Dr
Brentwood, TN 37027-4692

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000XNone listed

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1114157054

Specialty Physicians of Northern Virginia, LLC's National Provider Identifier is 1114157054, issued on Jul 24, 2009. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Dulles, VA. The record was last updated on Nov 20, 2025.