| NPI | 1720069271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM SUKOVICH Owner 434-977-3001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2010-07-22 |