| NPI | 1699243402 |
|---|---|
| Doing Business As | SPORTS MEDICINE OTHOPAEDICS CENTER |
| Entity Type | Organization |
| Authorized Contact | DEBRA RUNGE-ASHBY Director Of Revenue Cycle 757-547-5145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2024-08-16 |