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Organization

COMMONWEALTH SURGICAL PROFESSIONALS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT REID NOTTINGHAM JR. LSA (FOUNDER/LICENSED SURGICAL ASSIST)
(757) 439-0033
Entity
Organization

Contact information

Practice address
2300 WILSON BLVD STE 700, ARLINGTON, VA 22201-5435
(757) 439-0033
Mailing address
2300 WILSON BLVD STE 700, ARLINGTON, VA 22201-5435
(757) 439-0033

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
04/25/2023
Last updated
04/27/2023
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