Organization
SPORT MEDICINE AND ORTHOPAEDIC CENTER INC
Active
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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