Individual
DR. JOE ANTHONY CANTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1911 COMMONWEALTH DR, CHARLOTTESVILLE, VA 22901-2338
(434) 295-4367
(434) 971-9733
Mailing address
1911 COMMONWEALTH DR, CHARLOTTESVILLE, VA 22901-2338
(434) 295-4367
(434) 971-9733
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104555910
VA
111NR0200X
Radiology Chiropractor
0104555910
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
289168
ANTHEM
VA
Enumeration date
09/20/2006
Last updated
11/08/2011
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