Organization
COASTAL SURGICAL ASSISTANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD SCOTT SPROUSE CSA (OWNER)
(757) 831-4718
Entity
Organization
Contact information
Practice address
1102 WATERSTONE CT, CHESAPEAKE, VA 23320-3307
(757) 831-4718
Mailing address
1102 WATERSTONE CT, CHESAPEAKE, VA 23320-3307
(757) 831-4718
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/18/2007
Last updated
08/22/2020
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