Individual
DR. THEODORE EDWARD PERIH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
803 WEST BROAD ST, SUITE 240, FALLS CHURCH, VA 22046-3108
(703) 533-7707
(703) 237-2839
Mailing address
803 WEST BROAD STREET, SUITE 240, FALLS CHURCH, VA 22046-3108
(703) 533-7707
(703) 237-2839
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000477
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017403
BCBS
—
Enumeration date
08/30/2006
Last updated
09/30/2008
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