| NPI | 1982244083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS DAVID DUNCAN President Co RN Erstone Professional 757-746-5342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2025-01-22 |