| NPI | 1447545751 |
|---|---|
| Doing Business As | VALLEY SPORTS & SPINE CLINIC |
| Doing Business As | VALLEY SPORTS AND SPINE CLINIC |
| Entity Type | Organization |
| Authorized Contact | ETHAN B COLLIVER President 540-553-4587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RS0010X Internal Medicine, Sports Medicine | |
| 208000000X Pediatrics | |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2022-12-16 |