Organization
SPORT MEDICINE AND ORTHOPAEDIC CENTER INC
Active
Other names
Sports Medicine Othopaedics Center
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA RUNGE-ASHBY (DIRECTOR OF REVENUE CYCLE)
(757) 547-5145
Entity
Organization
Contact information
Practice address
5801 HARBOUR VIEW BLVD, SUFFOLK, VA 23435-2657
(757) 547-5145
Mailing address
501 DISCOVERY DR, CHESAPEAKE, VA 23320-3832
(757) 547-5145
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
11/09/2018
Last updated
08/16/2024
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