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Organization

VIRGINIA NEUROSPINE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DIALNTHA ELLEGALA MD (OWNER)
(434) 200-9009
Entity
Organization

Contact information

Practice address
1019A VISTA PARK DR, FOREST, VA 24551-4901
(434) 200-9009
Mailing address
1019A VISTA PARK DR, FOREST, VA 24551-4901

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
0101250836
VA

Other

Enumeration date
11/01/2016
Last updated
11/01/2016
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