Organization
PINNACLE SURGICAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHO STEVEN TAPAZOGLOU M.D. (CEO)
(312) 282-7414
Entity
Organization
Contact information
Practice address
2235 CEDAR LN, SUITE 101, VIENNA, VA 22182-5202
(703) 778-6000
(703) 778-6005
Mailing address
2235 CEDAR LN, SUITE 101, VIENNA, VA 22182-5202
(703) 778-6000
(703) 778-6005
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
0101251675
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101251675
LICENSE
VA
Enumeration date
02/28/2013
Last updated
02/28/2013
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