| NPI | 1487800876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTHUR W WARDELL President, Owner 757-215-1400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 01010321) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: VA 01010321) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-08-18 |