Individual
DR. BERNARD ETHERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2420 26TH RD S, ARLINGTON, VA 22206-2818
(703) 486-2225
Mailing address
48 NEW YORK AVE NW, WASHINGTON, DC 20001-1257
(202) 898-0030
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
0104555772
VA
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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