Organization
UROLOGY OF VA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI DELBRIDGE (CBO MANAGER)
(757) 466-3410
Entity
Organization
Contact information
Practice address
2790 GODWIN BLVD STE 225, SUFFOLK, VA 23434-8155
(757) 934-3006
Mailing address
PO BOX 791254, BALTIMORE, MD 21279-1254
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/03/2007
Last updated
11/20/2007
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