Organization
PENINSULA ORTHOPAEDIC GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE REID (M.D.)
(757) 870-0699
Entity
Organization
Contact information
Practice address
304 MARCELLA RD, SUITE B, HAMPTON, VA 23666-2578
(757) 864-0840
(757) 864-0848
Mailing address
304 MARCELLA RD, SUITE B, HAMPTON, VA 23666-2578
(757) 864-8040
(757) 864-0848
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101036538
VA
Other
Enumeration date
05/25/2010
Last updated
06/07/2013
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