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Organization

UNIVERSITY OF VIRGINIA PHYSICIANS GROUP

Active
Other names
Prosthestics and Orthotics
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRAD E. HAWS (CHIEF EXECUTIVE OFFICER)
(434) 980-6117
Entity
Organization

Contact information

Practice address
1015 SPRING CREEK PKWY, ROOM 2019, ZION CROSSROADS, VA 22942-7019
(434) 243-4670
(434) 243-4665
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
(434) 295-1000
(434) 972-4266

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1578685475
VA
Enumeration date
09/02/2016
Last updated
02/17/2023
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