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Organization
MICHAEL S BURGOON DC PC
Active
Organization
MICHAEL S BURGOON DC PC
Active
Other names
Towers Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL S BURGOON DC (PRESIDENT CEO OF CORPORATION)
(540) 343-6636
Entity
Organization
Contact information
Practice address
2302 COLONIAL AVE SW, SUITE A, ROANOKE, VA 24015
(540) 343-6636
(540) 343-6670
Mailing address
2302 COLONIAL AVE SW, SUITE A, ROANOKE, VA 24015
(540) 343-6636
(540) 343-6670
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001967
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
292833
ANTHEM
VA
01
—
P00008229
PALMETTO MEDICARE
—
Enumeration date
10/27/2006
Last updated
07/28/2010
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