NPI | 1851314827 |
---|---|
Former Legal Business Name | COMMONWEALTH ORTHOPAEDICS & REHABILITATION PC |
Entity Type | Organization |
Authorized Contact | NICOLE PROFFITT Credentialing & Enrollment 804-533-2357 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 207X00000X Orthopaedic Surgery |
Enumeration Date | 2006-07-25 |
Last Update Date | 2022-06-03 |