Organization
UNIVERSITY OF VIRGINIA PHYSICIANS GROUP
Active
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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