Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 0110-006662 | VA |
NPI | 1750852984 |
---|---|
Provider Name | Bryce Cope |
First Address | Virginia Beach, VA 23456-6527 |
Second Address | Virginia Beach, VA 23456-6527 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/12/2018 |
Last Update Date | 01/05/2019 |