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Individual

DR. GARY L SCHOLL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
7700 GUNSTON PLZ # A, LORTON, VA 22079-1897
(703) 339-5458
(703) 339-0406
Mailing address
63 GLACIER WAY, STAFFORD, VA 22554-7753
(703) 339-5458
(703) 339-0406

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
0104556242
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1050910
ASHN
VA
01
115868
ANTHEM BC/BS
VA
01
1371889
AETNA HMO
VA
01
2125155
MAMSI
VA
01
242327
KAISER
VA
01
666698
ACN
VA
01
669923
NCPPO
VA
01
7701844
AETNA
VA
01
H894-0002
CAREFIRST
VA
Enumeration date
12/06/2005
Last updated
07/08/2007
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