Individual
DR. PERRY JOHN VANDERHURST JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
205 E HIRST RD, SUITE 102, PURCELLVILLE, VA 20132-6198
(540) 338-3190
(540) 338-3695
Mailing address
205 E HIRST RD, SUITE 102, PURCELLVILLE, VA 20132-6198
(540) 338-3190
(540) 338-3695
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001972
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
434044
ANTHEM BCBS
VA
Enumeration date
04/12/2006
Last updated
03/30/2011
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