| |
2380 Plank Rd, A, Fredericksuburg, VA 22401 | |
(540) 373-1303 | |
(540) 373-6061 |
Full Name | |
---|---|
Type | Facility |
Speciality | Chiropractor - Sports Physician |
Location | 2380 Plank Rd, Fredericksuburg, Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528483229 | NPI | - | NPPES |
VV7411B612 | Other | VA | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NS0005X | Chiropractor - Sports Physician | 0104556636 (Virginia) | Primary |
Mailing Address | Practice Location Address |
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2380 Plank Rd, A, Fredericksuburg, VA 22401 Ph: (540) 373-1303 | 2380 Plank Rd, A, Fredericksuburg, VA 22401 Ph: (540) 373-1303 |