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Commonwealth Sports Medicine Pc
Specialist in Glen Allen, Virginia
NPI 1356406656

Commonwealth Sports Medicine Pc is a Specialist based in Glen Allen, VA. Commonwealth Sports Medicine Pc practices in Glen Allen, VA. The NPI Number for Commonwealth Sports Medicine Pc is 1356406656 and holds a License No. 0101238212 (Virginia).

The current practice location address for Commonwealth Sports Medicine Pc is 4300 Pouncey Tract Rd, Glen Allen, VA and can be reached out via phone at 804-270-7750 and via fax at 804-497-8625.

Location: 4300 Pouncey Tract Rd, Glen Allen, VA, 23060-6007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356406656
Provider Name
Commonwealth Sports Medicine Pc
Credential
Provider Entity Type
Organization
Address
4300 Pouncey Tract Rd, Glen Allen, VA, 23060-6007
Phone Number
804-270-7750
Fax Number
804-497-8625
Provider Enumeration Date
12/27/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4300 Pouncey Tract Rd
City
Glen Allen
State
Virginia
Zip
23060-6007
Phone Number
804-270-7750
Fax Number
804-497-8625
person
Provider Business Mailing Address Details
Address
4300 Pouncey Tract Rd
City
Glen Allen
State
Virginia
Zip
23060-6007
Phone Number
804-270-7750
Fax Number
804-497-8625
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
0101238212 (Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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