Organization
ORTHOPAEDIC SURGERY CENTERS PC II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD D. KNAUFT M.D. (PRESIDENT)
(757) 397-0783
Entity
Organization
Contact information
Practice address
5838 HARBOUR VIEW BLVD, SUITE 100, SUFFOLK, VA 23435-2663
(757) 483-0407
Mailing address
5838 HARBOUR VIEW BLVD, SUITE 100, SUFFOLK, VA 23435-2663
(757) 483-0407
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
191958
VA
225X00000X
Occupational Therapist
191959
VA
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1301190004
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1301190004
DME
VA
01
—
191958
BCBS PT
VA
01
—
191959
BCBS OT
VA
Enumeration date
02/12/2008
Last updated
02/12/2008
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