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Organization
SPECTRUM MEDICAL INC
Active
Organization
SPECTRUM MEDICAL INC
Active
Other names
Spectrum Medical Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK C HERMANN MD (PHYSICIAN)
(434) 793-4711
Entity
Organization
Contact information
Practice address
109 BRIDGE ST STE 300, DANVILLE, VA 24541-1222
(434) 793-4711
(434) 797-2514
Mailing address
109 BRIDGE ST STE 300, DANVILLE, VA 24541-1222
(434) 793-4711
(434) 797-2514
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305002703
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
196175
ANTHEM OF VA BC ID# FOR PHYSICAL THERAPY
VA
Enumeration date
06/11/2008
Last updated
06/10/2020
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