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Individual

IAN PETER WOODBURY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2616 SHERWOOD HALL LN, SUITE 201, ALEXANDRIA, VA 22306-3100
(703) 360-8200
(703) 360-3178
Mailing address
10909 FAIRCHESTER DR, FAIRFAX, VA 22030-4807
(571) 426-0756
(703) 360-3178

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001093
VA

Other

Enumeration date
05/05/2007
Last updated
07/08/2007
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