| NPI | 1790049252 |
|---|---|
| Doing Business As | RIVERSIDE NORTHERN NECK BONE AND JOINT CENTER |
| Entity Type | Organization |
| Authorized Contact | JAMES LESNICK Vice President 757-594-4006 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: VA 0101248828) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0101248828) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2012-08-27 |