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Individual
DR. PHILIP PETER CONNOLLY
Active
Individual
DR. PHILIP PETER CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
0104001006
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026990
ANTHEM
VA
01
—
G884
CAREFIRST BC/BS
VA
Enumeration date
10/17/2006
Last updated
11/30/2007
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