Individual
DR. TODD MARK MACDOWALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
103 ANNJO COURT, FOREST, VA 24551
(434) 455-2484
(434) 455-2486
Mailing address
103 ANNJO CT, FOREST, VA 24551-2631
(434) 455-2484
(434) 455-2486
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001115
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038496
ANTHEM BCBS
VA
01
—
409364
SOUTHERN HEALTH
VA
Enumeration date
10/27/2006
Last updated
08/11/2010
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