| NPI | 1851786008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD ELLISON Orthopaedic Surgeon 804-270-1305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101247812) |
| Enumeration Date | 2015-04-04 |
| Last Update Date | 2015-04-04 |