| NPI | 1033145404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA RUNGE-ASHBY Director Revenue Cycle 757-490-4943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery |
| 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery | |
| 207XX0005X Orthopaedic Surgery Sports Medicine | |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2022-07-05 |