Individual
DR. BART L EASTWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
250 S MAIN ST STE 224A, BLACKSBURG, VA 24060-4726
(540) 552-7133
(540) 552-7143
Mailing address
1115 BOULDERS PKWY STE 200, NORTH CHESTERFIELD, VA 23225-4067
(804) 560-5595
(804) 560-9029
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
7735
SD
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
0102204066
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720142508
—
VA
Enumeration date
12/19/2006
Last updated
01/19/2021
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