COUNTRYSIDE AMBULATORY SURG CENTER is an ambulatory surgical clinic center in Leesburg, VA. COUNTRYSIDE AMBULATORY SURG CENTER NPI is 1073534012. The provider is registered as an organization entity type.
The provider's business location address is:
44045 RIVERSIDE PKWY
LEESBURG, VA
ZIP 20176-101
Phone: (703) 858-6000
The provider's authorized official is John Grish .
The authorized official title is Chief Financial Officer and has the following contact phone number (703) 858-6604.
The enumeration date for this NPI number is 7/23/2006 and was last updated on 8/22/2020.