Organization
ORTHOPAEDIC SURGERY CENTERS PC II
Active
Organization
ORTHOPAEDIC SURGERY CENTERS PC II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD D KNAUFT M.D. (PRESIDENT)
(757) 397-0783
Entity
Organization
Contact information
Practice address
2929 LONDON BLVD, PORTSMOUTH, VA 23707-3405
(757) 397-1204
Mailing address
3136 HIGH ST, PORTSMOUTH, VA 23707-3400
(757) 398-0779
(757) 398-0030
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
191957
VA
225X00000X
Occupational Therapist
191956
VA
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1301190005
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1301190005
DME
VA
01
—
191956
BCBS OT
VA
01
—
191957
BCBS PT
VA
Enumeration date
02/21/2008
Last updated
02/21/2008
Update your record
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