# DOMINION SURGICAL ASSISTANTS, LLC

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

## Provider details

- **NPI number:** 1962915454
- **Authorized official:** MS. IRIS MARION CARLINE FERGUSON RN, RNFA (PRESIDENT)
- **Authorized official phone:** (703) 861-7660

## Contact information

- **Practice address:** 24440 STONE SPRINGS BLVD, DULLES, VA 20166
- **Practice address phone:** (703) 861-7660
- **Mailing address:** 25226 JUSTICE DR, SOUTH RIDING, VA 20152-6011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WR0006X | Registered Nurse First Assistant | 0001130352 | VA | Yes |

## Other

- **Enumeration date:** 11/07/2017
- **Last updated:** 08/24/2018