Mclean Ambulatory Surgery, LLC

NPI #1528438884 in Mc Lean, Virginia

Provider Information

NPI Number
1528438884
Entity Type
Organization
Organization Name
Mclean Ambulatory Surgery, LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Sep 30, 2015
Last Updated
Mar 13, 2024

Practice Location

Address
7601 LEWINSVILLE RD
Address 2
SUITE 440
ZIP Code
22102-2814
Phone
(703) 663-1440

Authorized Official

Name
DARASINH PHOUMMITHONE MAYARD, AUTHORIZED OFFICIAL
Title
A/R & OPERATIONS MANAGER
Phone
(703) 395-6410

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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