Organization
HAMPTON ROADS INSTITUTE FOR PERFORMANCE & SPORTS MEDICINE PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM L DOSS M.D. (PHYSICIAN)
(757) 393-0099
Entity
Organization
Contact information
Practice address
500 RODMAN AVE STE 1, PORTSMOUTH, VA 23707-3100
(757) 393-0099
(757) 393-2720
Mailing address
500 RODMAN AVE STE 1, PORTSMOUTH, VA 23707-3100
(757) 393-0099
(757) 393-2720
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
010153048
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-017
TRICARE
VA
Enumeration date
02/18/2009
Last updated
10/03/2013
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