Organization
SPINAL SURGERY ASSOCIATES PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM SUKOVICH MD (OWNER)
(434) 977-3001
Entity
Organization
Contact information
Practice address
600 PETER JEFFERSON PKWY, STE 170, CHARLOTTESVILLE, VA 22911-8835
(434) 977-3001
(434) 977-3002
Mailing address
600 PETER JEFFERSON PKWY, STE 170, CHARLOTTESVILLE, VA 22911-8835
(434) 977-3001
(434) 977-3002
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010240573
—
VA
01
—
611126000
DEPT OF LABOR
VA
01
—
DE3216
MEDICARE PIN
VA
Enumeration date
11/10/2005
Last updated
07/22/2010
Update your record
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