Organization
ULTIMATE SPINE HEALTH & CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHEON GYU PARK DC (CHIROPRACTOR)
(571) 253-5539
Entity
Organization
Contact information
Practice address
3900 UNIVERSITY DR STE 100, FAIRFAX, VA 22030-2513
(571) 253-5539
Mailing address
3900 UNIVERSITY DR STE 100, FAIRFAX, VA 22030-2513
(571) 253-5539
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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