Countryside Ambulatory Surg Center
Countryside Ambulatory Surg Center is an Ambulatory Surgical Clinic/Center in Leesburg, Virginia. Licensed in Virginia. Registered with an NPI since 2006.
- Licensed in
- VA
- In the registry since
- 2006
Practice location Address checks out
44045 Riverside PkwyLeesburg, VA 20176-5101
Phone: (703) 858-6000
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X · Licence OH 652 (VA) |
|---|
Record details
| NPI number | 1073534012 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Grish — Chief Financial Officer · (703) 858-6604 |
| NPI enumerated | July 23, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 4 Pidgeon Hill Dr, Sterling, VA 20165-6101 |
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-
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