Organization
HARBOUR SPORTS MEDICINE
Active
Parent organization
WARDELL ORTHOPAEDICS, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
WARDELL ORTHOPAEDICS, P.C.
Authorized official
DR. ARTHUR W WARDELL M.D. (PRESIDENT, OWNER)
(757) 215-1400
Entity
Organization
Contact information
Practice address
5818 HARBOUR VIEW BLVD # D, SUITE 150, SUFFOLK, VA 23435-3315
(757) 215-1400
(757) 215-1410
Mailing address
5818 HARBOUR VIEW BLVD # D, SUITE 150, SUFFOLK, VA 23435-3315
(757) 215-1400
(757) 215-1410
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01010321
VA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
01010321
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010080533
—
VA
01
—
1548289796
NPI
VA
Enumeration date
08/18/2008
Last updated
08/18/2008
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