Tysons-Mclean Asc, LLC

NPI #1568725786 in Mc Lean, Virginia

Provider Information

NPI Number: 1568725786
Entity Type: Organization
Organization Name: Tysons-Mclean Asc, LLC
Primary Specialty: Specialist
Enumeration Date: Jun 21, 2012
Last Updated: Jun 21, 2012

Practice Location

Address: 7601 LEWINSVILLE RD
Address 2: SUITE 440
City: Mc Lean
State: Virginia
ZIP Code: 22102-2814
Phone: (703) 676-3133

Authorized Official

Name: DR. HAVEN BARLOW, M.D
Title: SECRETARY TREASURER
Phone: (703) 287-8277

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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