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Individual

DR. JOHN STEPHEN EGGLESTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
100 VICAR PL, DANVILLE, VA 24540-1240
(434) 836-3506
(434) 836-2407
Mailing address
100 VICAR PL, DANVILLE, VA 24540-1240
(434) 836-3506
(434) 836-2407

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000855
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000066718
BLUE CROSS/BLUE SHIELD
VA
Enumeration date
07/12/2005
Last updated
07/07/2010
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