Organization
PRYMAK CHIROPRACTIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID JOHN PRYMAK D.C. (PRESIDENT)
(703) 494-9922
Entity
Organization
Contact information
Practice address
12801 DARBY BROOK CT, SUITE 102, WOODBRIDGE, VA 22192-2497
(703) 494-9922
(703) 494-8403
Mailing address
12801 DARBY BROOK CT, SUITE 102, WOODBRIDGE, VA 22192-2497
(703) 494-9922
(703) 494-8403
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001669
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
211330
ANTHEM BLUE CROSS BLUE SHIELD
VA
Enumeration date
12/19/2011
Last updated
12/19/2011
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