| NPI | 1477956878 |
|---|---|
| Doing Business As | VA COMMONWEALTH UNIVERSITY SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MATTHEW LAWLESS Md 804-828-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2014-09-30 |