Organization
ADVANCED ORTHOPAEDIC CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL H LOWERY (CONTROLLER)
(804) 270-1305
Entity
Organization
Contact information
Practice address
107 DMV DR, KILMARNOCK, VA 22482-3843
(804) 270-1305
(804) 273-9294
Mailing address
7858 SHRADER RD, RICHMOND, VA 23294-4222
(804) 270-1305
(804) 273-9294
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XP3100X
Pediatric Orthopaedic Surgery Physician
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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