NPI 1093802415

Specialized Orthopaedic Services

Organisation Customized Equipment (DME) Virginia Beach, VA

Practice location

Address: 4501 N Witchduck Rd Suite C, Virginia Beach, VA 23455-6217
Phone: (757) 557-0050
Fax: (757) 557-0051

Authorised official

Name: Charles S Davis
Title: Branch Manager
Phone: (757) 557-0050

Registered specialties

Customized Equipment (DME) Primary

Suppliers Taxonomy 332BC3200X

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Registry record

NPI: 1093802415
Entity type: Organization
NPI issued: 6 Oct 2006
Record last updated: 23 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.