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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