Provider Demographics
NPI:1669513925
Name:CENTER FOR CRANIAL & SPINAL SURGERY, PC
Entity type:Organization
Organization Name:CENTER FOR CRANIAL & SPINAL SURGERY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:G
Authorized Official - Last Name:HOPE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-560-1146
Mailing Address - Street 1:3016 WILLIAMS DR
Mailing Address - Street 2:BACK OF BUILDING
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-4616
Mailing Address - Country:US
Mailing Address - Phone:703-560-1146
Mailing Address - Fax:703-560-2605
Practice Address - Street 1:3016 WILLIAMS DR
Practice Address - Street 2:BACK OF BUILDING
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-4616
Practice Address - Country:US
Practice Address - Phone:703-560-1146
Practice Address - Fax:703-560-2605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty