Organization · Type 2 NPI
Vascular Surgery Group
Vascular Surgery Physician · Great Falls, VA
NPI number
1265791297
Active
Practice location
850 Chistensen Court
Great Falls, VA 22066
Fax (703) 433-1852
Mailing address
850 Christensen Ct
Great Falls, VA 22066-1337
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | 0101238644 (VA) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
About NPI 1265791297
Vascular Surgery Group's National Provider Identifier is 1265791297, issued on May 11, 2012. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Great Falls, VA. The record was last updated on May 11, 2012.