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Organization

B.A. KNOTT PROSTHETICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEVEN F SHIELDS (BILLING MANAGER)
(804) 282-9133
Entity
Organization

Contact information

Practice address
4912 W MARSHALL ST, SUITE 101, RICHMOND, VA 23230-3127
(804) 355-4773
Mailing address
4912 W MARSHALL ST, SUITE 101, RICHMOND, VA 23230-3127

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9133763
VA
Enumeration date
01/26/2007
Last updated
03/05/2008
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