Organization · Type 2 NPI
Phenom Surgical LLC
Surgery Physician · Fairfax, VA
Practice location
2750 Prosperity Ave, #120
Fairfax, VA 22031-4312
Fax (703) 205-9010
Mailing address
8116 Arlington Blvd, #183
Falls Church, VA 22042-1002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician Primary | 208600000X | None 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…
3 other providers at this address
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- Northern Virginia Obgyn Associates, Ltd.Surgery Physician Fairfax, VA NPI 1386840791
- William J. Purkert, M.d., L.l.c.Surgery Physician Fairfax, VA NPI 1457559767
- Emergency Surgery, LLCSurgery Physician Fairfax, VA NPI 1588837249
- MVC Va PLLCSurgery Physician Fairfax, VA NPI 1639089949
- Teruaki Kodama, M.d., L.l.c.Surgery Physician Fairfax, VA NPI 1720285893
- Oaoc, LLCSurgery Physician Fairfax, VA NPI 1790635456
- Virginia Hernia, P.c.Surgery Physician Fairfax, VA NPI 1861354342
About NPI 1871842989
Phenom Surgical LLC's National Provider Identifier is 1871842989, issued on Sep 5, 2012. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Fairfax, VA. The record was last updated on May 16, 2016.