Organization
UNIVERSITY OF VIRGINIA PHYSICIANS GROUP
Active
Other names
Prosthestics and Orthotics
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH S JUST (CEO)
(434) 972-4285
Entity
Organization
Contact information
Practice address
1204 W MAIN ST, 3RD FLOOR, CHARLOTTESVILLE, VA 22903-2824
(434) 243-4670
(434) 243-4665
Mailing address
PO BOX 749112, ATLANTA, GA 30374-9112
(434) 295-1000
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
VA
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578685475
—
VA
Enumeration date
09/02/2016
Last updated
11/20/2024
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