Organization
ORTHOPAEDIC SURGERY CENTERS PC II
Active
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
Update your record
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