Organization
ORTHOPEDIC SPECIALTY CLINIC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KURT ROLAND LARSON MD (PRESIDENT)
15403611830
Entity
Organization
Contact information
Practice address
2800 WELLFORD ST STE 100, FREDERICKSBURG, VA 22401-3176
(154) 036-1830
(154) 036-1496
Mailing address
2800 WELLFORD ST STE 100, FREDERICKSBURG, VA 22401-3176
(154) 036-1830
(154) 036-1496
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
07/06/2006
Last updated
06/30/2010
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