NPI 1861453078
Blue Ridge Academic Medical Group, Plc
Practice location
- Address
- 3700 S Main St, Blacksburg, VA 24060-7017
- Phone
- (540) 951-1111
- Mailing address
- 2265 Kraft Dr, Blacksburg, VA 24060-6360
Authorised official
- Name
- Isaac J Kirstein
- Title
- Physician
- Phone
- (540) 818-5890
Registered specialties
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
Registry record
- NPI
- 1861453078
- Entity type
- Organization
- NPI issued
- 29 Mar 2006
- Record last updated
- 22 Aug 2020
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.