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Organization

CENTRA HEALTH PROFESSIONAL SERVICES, LLC

Active
Parent organization
CENTRA HEALTH PROFESSIONAL SERVICES, LLC
Other names
Bedford Orthopaedics-Centra Medical Group
Organization subpart
Yes

Provider details

NPI number
Legal business name
CENTRA HEALTH PROFESSIONAL SERVICES, LLC
Authorized official
ARTHUR LEAVITT (VP PHYSICIAN PRACTICE MANAGEMENT)
(434) 200-3656
Entity
Organization

Contact information

Practice address
1613 OAKWOOD ST, SUITE 101, BEDFORD, VA 24523-1213
(540) 297-7783
Mailing address
1204 FENWICK DR, LYNCHBURG, VA 24502-2112

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Enumeration date
04/18/2012
Last updated
04/18/2012
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