Individual
DR. GARRY THOMAS KRAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6120 BRANDON AVE, SUITE 203, SPRINGFIELD, VA 22150-2522
(703) 644-2222
(703) 644-2488
Mailing address
6120 BRANDON AVE, SUITE 203, SPRINGFIELD, VA 22150-2522
(703) 644-2222
(703) 644-2488
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104555563
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180780
ANTHEM
VA
Enumeration date
06/26/2006
Last updated
06/26/2014
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