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NPI Code Detail

MEDICARE: STONESPRINGS ANESTHESIA ASSOCIATES, LTD

MEDICARE: STONESPRINGS ANESTHESIA ASSOCIATES, LTD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician

General Provider Information

NPI Number : 1255718235
Entity Type Code : Organization
Provider Name (Legal Business Name) : STONESPRINGS ANESTHESIA ASSOCIATES, LTD
Provider Business Mailing Address
First Line : PO BOX 2727
Second Line :
City : RESTON
State : VA
Zip : 20195-0727
Country : US
Telephone Number : 703-471-0919
Fax Number : 703-742-9081
Provider Business Practice Location Address
First Line : 24440 STONE SPRINGS BLVD
Second Line :
City : DULLES
State : VA
Zip : 20166-2247
Country : US
Telephone Number : 703-471-0919
Fax Number : 703-742-9081
Authorized Official
Title or Position : PRESIDENT
Name : CHARLES ELLIS
Credential : MD
Telephone Number : 703-471-0919
Provider Enumeration Date : 04/29/2015
Last Update Date : 03/08/2023

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Directions to “STONESPRINGS ANESTHESIA ASSOCIATES, LTD ” Practice Location

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