Organization
NORTHERN VIRGINIA SURGERY CENTER ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN P WOODS MD (CHIEF MEDICAL OFFICER)
(214) 687-0015
Entity
Organization
Contact information
Practice address
3620 JOSEPH SIEWICK DR, SUITE 202, FAIRFAX, VA 22033-1756
(703) 766-6960
(703) 766-6980
Mailing address
PO BOX 612402, DALLAS, TX 75261-2402
(239) 610-0775
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
03/13/2015
Last updated
05/25/2021
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