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Organization

BACK N SHAPE SPORTSMED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSEPH W MARCIL D.C. (OWNER)
(757) 471-2800
Entity
Organization

Contact information

Practice address
3809 PRINCESS ANNE RD, VIRGINIA BEACH, VA 23456-1900
(757) 471-2800
Mailing address
3809 PRINCESS ANNE RD, VIRGINIA BEACH, VA 23456-1900
(757) 471-2800

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001623
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
115137
ANTHEM
VA
Enumeration date
12/19/2006
Last updated
08/22/2020
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