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Organization

WEST END SURGICAL ASSISTANTS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL HORNE CSFA, LSA (LICENSED SURGICAL ASSISTANT)
(229) 569-5096
Entity
Organization

Contact information

Practice address
1602 SKIPWITH RD, HENRICO, VA 23229-5205
(229) 569-5096
Mailing address
10604 CUSSONS RD, GLEN ALLEN, VA 23060-2634
(229) 569-5096

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
03/17/2021
Last updated
03/17/2021
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