Premier Trauma and Surgical Specialists LLC
Premier Trauma and Surgical Specialists LLC is a Physician Assistant in Leesburg, Virginia. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
44045 Riverside PkwyLeesburg, VA 20176-5101
Phone: (703) 858-6040
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
| Nurse Practitioner (primary) | Taxonomy 363L00000X |
|---|---|
| Physician Assistant | Taxonomy 363A00000X |
Record details
| NPI number | 1437781523 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Edward Puccio — President · (610) 668-6495 |
| NPI enumerated | February 7, 2020 |
| Last updated in NPPES | February 7, 2020 |
| Certification date | February 7, 2020 |
| Mailing address | Po Box 79295, Baltimore, MD 21279-0295 |
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Harsh Patel, PA-C
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Stephanie Petruzzo
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Amber Nicole Pham, PHYSICIANASSISTANT
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Mrs. Shabnam Prophet, PA-C
44045 Riverside Pkwy, Leesburg, VA 20176-5101 · (703) 858-6000
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Kristen D Ritch, PA-C
224D Cornwall St NW Ste 102, Leesburg, VA 20176-2700 · (703) 777-1146
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Nicole M Royer, PA
19450 Deerfield Ave Ste 325, Leesburg, VA 20176-8503 · (571) 252-8119
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Darlene Ann Saar, PAC
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