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Organization

COLONIAL ORTHOPAEDICS, INC.

Active
Other names
Colonial Orthopaedics
Organization subpart
No

Provider details

NPI number
Authorized official
NANCY C. CLARK (OPERATIONS MANAGER)
(804) 526-5888
Entity
Organization

Contact information

Practice address
13700 ST FRANCIS BLVD, SUITE 505, MIDLOTHIAN, VA 23114-3222
(804) 526-5888
(804) 526-5401
Mailing address
131 JENNICK DR, COLONIAL HEIGHTS, VA 23834-4905
(804) 526-5888
(804) 526-5401

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
207XS0106X
Orthopaedic Hand Surgery Physician
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
207XS0117X
Orthopaedic Surgery of the Spine Physician
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
207XX0801X
Orthopaedic Trauma Physician

Other

Enumeration date
08/11/2008
Last updated
09/04/2008
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