Organization
NEW LIFE FAMILY CHIROPRACTIC & WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK WILLIAM STULL DC (OWNER)
(434) 534-9426
Entity
Organization
Contact information
Practice address
1045 THOMAS JEFFERSON RD, SUITE 1D, FOREST, VA 24551-4642
(434) 534-9426
(434) 534-9428
Mailing address
1045 THOMAS JEFFERSON RD, SUITE 1D, FOREST, VA 24551-4642
(434) 534-9426
(434) 534-9428
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556832
VA
Other
Enumeration date
10/20/2010
Last updated
04/04/2011
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