Organization
VANWAGNER INC
Active
Other names
TRI AD CHIROPRACTIC
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT VANWAGNER DC (AUTHORIZED OFFICIAL)
(804) 564-6110
Entity
Organization
Contact information
Practice address
10857 W BROAD ST, GLEN ALLEN, VA 23060-3312
(804) 270-3000
(804) 270-3004
Mailing address
10857 W BROAD ST, GLEN ALLEN, VA 23060-3312
(804) 270-3000
(804) 270-3004
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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