Organization
MILLENNIUM CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARTHUR EDWARD MOOSALLY DC (OWNER)
(703) 680-3332
Entity
Organization
Contact information
Practice address
5864 MAPLEDALE PLAZA, WOODBRIDGE, VA 22193
(703) 680-3332
Mailing address
5864 MAPLEDALE PLAZA, WOODBRIDGE, VA 22193
(703) 680-3332
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104002071
VA
111N00000X
Chiropractor
VA0104002071
VA
Other
Enumeration date
05/03/2007
Last updated
01/16/2008
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