| NPI | 1336367630 |
|---|---|
| Doing Business As | VCU SPORTS MEDICINE-VCU SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DOMINIC J PULEO CFO 804-828-1295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: VA H1875) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2010-12-31 |