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Organization

CORNWALL SURGERY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHANIE KRUELLE (BILLING SPECIALIST)
(703) 777-7477
Entity
Organization

Contact information

Practice address
224D CORNWALL ST NW, SUITE 300, LEESBURG, VA 20176-2704
(703) 777-7477
(703) 777-2050
Mailing address
224D CORNWALL ST NW, SUITE 300, LEESBURG, VA 20176-2704
(703) 777-7477
(703) 777-2050

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
11/02/2010
Last updated
11/02/2010
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