Organization
OLD DOMINION OSTEOPATHIC MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON SNEED D.O. (MEMBER/MANAGER)
(703) 505-2620
Entity
Organization
Contact information
Practice address
2525 COWAN BLVD, FREDERICKSBURG, VA 22401-8440
(540) 423-6858
Mailing address
2525 COWAN BLVD, FREDERICKSBURG, VA 22401-8440
(540) 423-6858
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
0102202984
VA
Other
Enumeration date
10/05/2012
Last updated
03/05/2013
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