Organization
INOVA LOUDOUN AMBULATORY SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE ANN ROYBAL (ADMINISTRATOR)
(571) 209-6465
Entity
Organization
Contact information
Practice address
44035 RIVERSIDE PKWY, SUITE 200, LEESBURG, VA 20176-8260
(571) 209-6465
(571) 209-6478
Mailing address
44035 RIVERSIDE PKWY, SUITE 200, LEESBURG, VA 20176-8260
(571) 209-6465
(571) 209-6478
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OH700
VA
Other
Enumeration date
07/04/2006
Last updated
07/22/2015
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