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ALEXANDRIA SPORTS INC

Ambulatory Health Care Facilities Clinic/Center Rehabilitation

Provider NPI: 1073909263

Organization Information:
Organization Name:  ALEXANDRIA SPORTS INC
Organization is not Subpart
Authorized Official:  MICHAEL E TARVIN  VICE PRESIDENT & SECRETARY  717-972-1100

Practice Location:
8101 HINSON FARM RD SUITE 312 ALEXANDRIA, VA 22306-3408 US
Tel: 703-769-8455  Fax: 703-704-9093

Business Mailing Address:
4714 GETTYSBURG RD LEGAL DEPT MECHANICSBURG, PA 17055-4325 US
Tel: 717-972-1100  Fax: --

NPI Information:
NPI: 1073909263
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QR0400XAmbulatory Health Care Facilities
Clinic/Center
Rehabilitation

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 261QR0400X

Type:

Classification:



Definition:



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