| Colliver Sports & Spine Inc | |
|
120 Professional Park Dr Se Ste 7 Blacksburg VA 24060-6739 | |
| (540) 443-3832 | |
| (540) 443-9362 |
| Full Name | Colliver Sports & Spine Inc |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 120 Professional Park Dr Se Ste 7, Blacksburg, Virginia |
| Authorized Official Name and Position | Ethan B Colliver (PRESIDENT) |
| Authorized Official Contact | 5405534587 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colliver Sports & Spine Inc 120 Professional Park Dr Se Ste 7 Blacksburg VA 24060-6739 Ph: (540) 443-3832 | Colliver Sports & Spine Inc 120 Professional Park Dr Se Ste 7 Blacksburg VA 24060-6739 Ph: (540) 443-3832 |
| NPI Number | 1447545751 |
|---|---|
| Provider Enumeration Date | 06/15/2011 |
| Last Update Date | 12/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447545751 | NPI | - | NPPES |
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