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Individual

DR. CHRISTOPHER R PERRON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
11715 BOWMAN GREEN DR, RESTON, VA 20190-3507
(703) 689-2300
(703) 689-0234
Mailing address
12619 HAY MEADOW PL, OAK HILL, VA 20171-2231
(703) 390-9140

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104 555576
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
257135
ANTHEM BCBS PROVIDER #
VA
01
7715149
AETNA PPO PROVIDER #
VA
Enumeration date
08/01/2006
Last updated
07/08/2007
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