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Organization

COLONIAL ORTHOPAEDICS INC

Active
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Organization

COLONIAL ORTHOPAEDICS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER BAILEY (CREDENTIALING SPECIALIST)
(804) 571-5106
Entity
Organization

Contact information

Practice address
325 CHARLES H DIMMOCK PKWY STE 100, COLONIAL HEIGHTS, VA 23834-2986
(804) 526-5888
(804) 526-5401
Mailing address
325 CHARLES H DIMMOCK PKWY STE 100, COLONIAL HEIGHTS, VA 23834-2986
(804) 526-5888
(804) 526-5401

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1790712834
VA
Enumeration date
05/09/2007
Last updated
06/11/2019
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