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Organization
ROANOKE VALLEY CHIROPRACTIC & CLINICAL NUTRITION CENTER PC
Active
Organization
ROANOKE VALLEY CHIROPRACTIC & CLINICAL NUTRITION CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK D SCHUELER (PRESIDENT)
(540) 977-5400
Entity
Organization
Contact information
Practice address
291 ARRINGTON LN, ROANOKE, VA 24019-8274
(540) 977-5400
(540) 992-3856
Mailing address
PO BOX 4127, ROANOKE, VA 24015-0127
(540) 981-9394
(540) 344-7154
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001840
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350051987
MEDICARE RR
VA
01
—
C09744
MEDICARE GROUP NUMBER
VA
Enumeration date
09/20/2006
Last updated
06/17/2010
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