# CASTEEN SURGICAL ASSISTING

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

## Provider details

- **NPI number:** 1811594393
- **Authorized official:** REIKO ADELE CASTEEN CSA,LSA (SURGICAL ASSISTANT)
- **Authorized official phone:** (757) 636-7856

## Contact information

- **Practice address:** 4801 KIPPER DR, MOSELEY, VA 23120-2312
- **Practice address phone:** (757) 636-7856
- **Mailing address:** 4801 KIPPER DR, MOSELEY, VA 23120-2221
- **Mailing address phone:** (757) 636-7856

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246ZC0007X | Surgical Assistant | — | NULL | — |
| 246ZC0007X | Surgical Assistant | — | — | — |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 10/07/2020
- **Last updated:** 06/11/2021