| NPI | 1609969641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE WALTER REID President 757-870-0699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101036538) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2013-08-24 |