Individual provider · Type 1 NPI

Eduardo Jose Dominguez, SA-C

Surgical Assistant · Fairfax, VA

NPI number 1982195939 Active

Practice location

12011 Lee Jackson Memorial Hwy
Fairfax, VA 22033

Call (703) 349-1379 Map

Fax (214) 764-0880

Mailing address

PO Box 221135
Chantilly, VA 20153-1135

Specialties and licenses

TaxonomyCodeLicense
Surgical Assistant Primary 246ZC0007X12-135 (WI)

Surgical Assistant: A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in h…

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About NPI 1982195939

Eduardo Jose Dominguez, SA-C's National Provider Identifier is 1982195939, issued on May 25, 2018. The primary taxonomy on file is Surgical Assistant (246ZC0007X), and the practice location is in Fairfax, VA. The record was last updated on Mar 1, 2019.