Organization
360 HEALTH AND REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN MICHAEL ERLE DC (OWNER)
(540) 373-1303
Entity
Organization
Contact information
Practice address
1965 JEFFERSON DAVIS HWY, STE 200B, FREDERICKSBURG, VA 22401
(540) 373-1303
(540) 373-6061
Mailing address
1965 JEFFERSON DAVIS HWY, STE 200B, FREDERICKSBURG, VA 22401
(540) 373-1303
(540) 373-6061
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
0104556636
VA
Other
Enumeration date
09/14/2012
Last updated
09/21/2012
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