Organization
OUTPATIENT ANESTHESIA SERVICES OF RESTON, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY SPARKS-JENET M.D. (PRESIDENT)
(703) 471-0919
Entity
Organization
Contact information
Practice address
1860 TOWN CENTER DR # 100, RESTON, VA 20190-5896
(703) 471-0919
(703) 742-9081
Mailing address
PO BOX 2699, RESTON, VA 20195-0699
(703) 471-0919
(703) 742-9081
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0632910
VA
Other
Enumeration date
08/31/2006
Last updated
09/17/2020
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