Individual provider · Type 1 NPI

Robert Reid Nottingham Jr., CSA

Surgical Physician Assistant · Arlington, VA

NPI number 1164080321 Active

Practice location

2300 Wilson Blvd Ste 700
Arlington, VA 22201-5435

Other practice locations

  • 8116 Arlington Blvd Ste 183, Falls Church, VA 22042-1002 · (703) 659-4557

Specialties and licenses

TaxonomyCodeLicense
Surgical Assistant 246ZC0007X5016 (VA)
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1164080321

Robert Reid Nottingham Jr., CSA's National Provider Identifier is 1164080321, issued on Jun 3, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Arlington, VA. The record was last updated on Jun 5, 2023.