Organization
SURGICAL FOCUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEROME J UPCHURCH SA-C, CSFA (SURGICAL ASSISTANT)
(215) 518-2138
Entity
Organization
Contact information
Practice address
5550 FRIENDSHIP BLVD STE 100, CHEVY CHASE, MD 20815-7294
(215) 518-2138
Mailing address
5550 FRIENDSHIP BLVD, CHEVY CHASE, MD 20815-7256
(215) 518-2138
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
09/10/2018
Last updated
12/02/2019
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