Individual
DR. MATHIAS MICHAEL PASTORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
12300 BERMUDA CROSSROADS LANE, CHESTER, VA 23831
(804) 748-2763
(804) 796-2621
Mailing address
12300 BERMUDA CROSSROADS LANE, CHESTER, VA 23831
(804) 748-2763
(804) 796-2621
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
VA0104001122
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
172877
ANTHEM BCBS
—
Enumeration date
09/08/2006
Last updated
07/08/2007
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