| NPI | 1437188554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY PETERS Practice Manager 540-345-3556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: VA 0101037335) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: VA 0101057389) | |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: VA 0101238696) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: VA 0101046000) | |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2009-01-30 |