Centra Health Professional Services, LLC

NPI #1700170412 in Lynchburg, Virginia

Provider Information

NPI Number
1700170412
Entity Type
Organization
Organization Name
Centra Health Professional Services, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
CENTRA HEALTH PROFESSIONAL SERVICES, LLC
Primary Specialty
Surgery - Vascular Surgery
Enumeration Date
May 31, 2011
Last Updated
May 31, 2011

Practice Location

Address
2410 ATHERHOLT RD
ZIP Code
24501-2148
Phone
(434) 200-5212

Authorized Official

Name
ARTHUR LEAVITT
Title
VP PHYSICIAN PRACTICE MANAGEMENT
Phone
(434) 200-3656

Specialties & Taxonomy Codes

Specialty
Surgery - Vascular SurgeryVascular Surgery

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Organizations

Provider Name
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