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Organization

CENTER FOR ADVANCED ORTHOPEDIC SURGERY & PAIN MANAGEMENT PLC

Active
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Organization

CENTER FOR ADVANCED ORTHOPEDIC SURGERY & PAIN MANAGEMENT PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RANDOLPH BRYANT COOK MD (MANAGING PARTNER)
(703) 444-5447
Entity
Organization

Contact information

Practice address
21785 FILIGREE CT, SUITE 103, ASHBURN, VA 20147-6214
(703) 444-5447
(703) 444-5484
Mailing address
21785 FILIGREE CT, SUITE 103, ASHBURN, VA 20147-6214
(703) 444-5447
(703) 444-5484

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
208VP0014X
Interventional Pain Medicine Physician
213ES0103X
Foot & Ankle Surgery Podiatrist
010330742
VA

Other

Enumeration date
09/16/2006
Last updated
05/30/2012
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