Old Dominion Osteopathic Medicine

Organization Neuromusculoskeletal Medicine & OMM Physician · NPI 1659623205

Old Dominion Osteopathic Medicine is a Neuromusculoskeletal Medicine & OMM Physician in Fredericksburg, Virginia. Licensed in Virginia. Registered with an NPI since 2012.

Licensed in: VA
In the registry since: 2012

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Practice location Address checks out

2525 Cowan Blvd
Fredericksburg, VA 22401-8440
Phone: (540) 423-6858

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neuromusculoskeletal Medicine & OMM Physician (primary)	Taxonomy 204D00000X · Licence 0102202984 (VA)

Record details

NPI number	1659623205
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Jason Sneed — Member/Manager · (703) 505-2620
NPI enumerated	October 5, 2012
Last updated in NPPES	March 5, 2013
Mailing address	2525 Cowan Blvd, Fredericksburg, VA 22401-8440