Healthcare Surgical Assisting Llc

NPI 1053722173 - Physician Assistant - 363AS0400X

NPI Details
NPI 1053722173
Enumeration Date 05/12/2014
Last Updated 05/12/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name JOHN-CLAUDE DELA CROIX JOHN-CLAUDE
Position LICENSED CERTIFIED SURGICAL ASSISTA
Phone (571) 577-0361
Fax
Practice Location
704 CLARK CT NE APT 204
LEESBURG VA, 20176-4708, US
Phone (571) 577-0361
Fax
Business Location
704 CLARK CT NE 204
LEESBURG VA, 20176, US
Phone
Fax
Toxanomy
Taxonomy Code 363AS0400X
License State DO Columbia
License Number SA0078
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According to our database, Healthcare Surgical Assisting Llc NPI is 1053722173, taxonomy code is 363AS0400X and license number is SA0078, license state is located at DO Columbia. Healthcare Surgical Assisting Llc physically located at 704 Clark Ct Ne Apt 204, Leesburg VA, 20176-4708. NPI Number 1033115704 has the healthcare provider type.

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1053722173 NPI number is provided on an as is basis without warranty of any kind. 1053722173 is maintained by the National Plan & Provider Enumeration System. The contents of Healthcare Surgical Assisting Llc are for informational purposes only.