Organization
COMMONWEALTH SPORT AND SPINE
Active
Organization
COMMONWEALTH SPORT AND SPINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT BRUCE THOMAS II M.D. (OWNER)
(703) 869-2229
Entity
Organization
Contact information
Practice address
46165 WESTLAKE DR STE 100, POTOMAC FALLS, VA 20165-5872
(703) 433-1700
(703) 433-9386
Mailing address
PO BOX 651062, STERLING, VA 20165-1062
(703) 869-2229
(703) 997-4322
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0101049657
VA
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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