| NPI | 1740549302 |
|---|---|
| Doing Business As | HROSM INTERVENTIONAL SPINE & SPORTS INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | WENDY ELIZABETH JACKSON Chief Information Officer 757-873-1554 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208VP0000X Pain Medicine, Pain Medicine | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2018-03-20 |