Individual
DR. WILLIAM ROGER THESIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
240 MUSTANG TRL, SUITE 3, VIRGINIA BEACH, VA 23452-7516
(757) 486-3222
(757) 498-7353
Mailing address
240 MUSTANG TRL, SUITE 3, VIRGINIA BEACH, VA 23452-7516
(757) 486-3222
(757) 498-7353
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000339
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
075057
ANTHEM BC / BS ID NUMBER
VA
Enumeration date
07/20/2005
Last updated
06/12/2013
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