Organization
PRECISION ORTHOPEDICS AND SPORTS MEDICINE
Active
Organization
PRECISION ORTHOPEDICS AND SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA LEA BOATMAN (CREDENTIALING MANAGER)
(013) 298-5334
Entity
Organization
Contact information
Practice address
493 BLACKWELL RD STE 316, WARRENTON, VA 20186-2628
(540) 905-7775
Mailing address
493 BLACKWELL RD STE 316, WARRENTON, VA 20186-2628
(540) 905-7775
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Enumeration date
02/24/2021
Last updated
07/14/2021
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