# OUTPATIENT ANESTHESIA SERVICES OF RESTON, LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376654434
- **Authorized official:** TAMMY SPARKS-JENET M.D. (PRESIDENT)
- **Authorized official phone:** (703) 471-0919

## Contact information

- **Practice address:** 1860 TOWN CENTER DR \# 100, RESTON, VA 20190-5896
- **Practice address phone:** (703) 471-0919
- **Practice address fax:** (703) 742-9081
- **Mailing address:** PO BOX 2699, RESTON, VA 20195-0699
- **Mailing address phone:** (703) 471-0919
- **Mailing address fax:** (703) 742-9081

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 0632910 | VA | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 09/17/2020