Individual
DR. BRETT EUGENE FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
7540 LITTLE RIVER TPKE, ANNANDALE, VA 22003-2839
(703) 256-2600
(703) 256-6566
Mailing address
7540 LITTLE RIVER TPKE, ANNANDALE, VA 22003-2839
(703) 256-2600
(703) 256-6566
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
0104000459
VA
Other
Enumeration date
10/20/2005
Last updated
09/30/2008
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