is a Sports Medicine in Virginia Beach, Virginia. practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for is 1154372712. The last update date is .
's current location address is 230 Clearfield Ave, Virginia Beach, Virginia. You can contact this provider via phone number 7573213383 and fax number 7573213332. The mailing address for is 230 Clearfield Ave, Virginia Beach, Virginia. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 230 Clearfield Ave, Virginia Beach, Virginia |
Phone Number | 7573213383 |
Fax Number | 7573213332 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1154372712 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 230 Clearfield Ave |
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City | Virginia Beach |
State | Virginia (VA) |
Post Code | 234621832 |
Phone Number | 7573213383 |
Fax Number | 7573213332 |
Provider's Primary Taxonomy Detail
Speciality | Sports Medicine |
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Taxonomy | 207Xx0005X |
Licence No | 101237415 |
Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
C05501 | VA | MEDICARE GROUP PIN | |
1154372712 | VA | -- |
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