Organization
GLOUCESTER ORTHOPAEDIC CLINIC P C
Active
Other names
YORK RIVER ORTHOPAEDICS & SPORTS MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA BACH CRAWFORD M.D. (PRESIDENT)
(804) 693-4645
Entity
Organization
Contact information
Practice address
7584 HOSPITAL DR, BUILDING C, SUITE 202, GLOUCESTER, VA 23061-4178
(804) 693-4645
(804) 693-5985
Mailing address
PO BOX 646, GLOUCESTER, VA 23061-0646
(804) 693-4645
(804) 693-5985
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101032226
VA
207X00000X
Orthopaedic Surgery Physician
Primary
0101042323
VA
Other
Enumeration date
03/21/2006
Last updated
03/10/2008
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