Organization
SPINE & INJURY CENTER OF FREDERICKSBURG PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW LEWIS RENO D.C. (CLINIC DIRECTOR)
(540) 785-0200
Entity
Organization
Contact information
Practice address
4500 PLANK RD, SUITE 1022, FREDERICKSBURG, VA 22407-0120
(540) 785-0200
(540) 785-0660
Mailing address
4500 PLANK RD, SUITE 1022, FREDERICKSBURG, VA 22407-0120
(540) 785-0200
(540) 785-0660
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
0104555960
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2101714
ALLIANCE
VA
01
—
2740701
AETNA
VA
01
—
434855
ANTHEM
VA
01
—
50576
NVPPO
VA
01
—
S974-0001
CAREFIRST
VA
Enumeration date
09/07/2007
Last updated
10/26/2015
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