Organization
BASIC ESSENTIALS SPINAL CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WADE EDWARD SPROVIERO D.C. (CHIROPRACTOR)
(273) 236-3833
Entity
Organization
Contact information
Practice address
2744 GLENDALE RD, GALAX, VA 24333-5350
(276) 236-3833
(276) 236-9376
Mailing address
2744 GLENDALE RD, GALAX, VA 24333-5350
(276) 236-3833
(276) 236-9376
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000891
VA
Other
Enumeration date
11/01/2007
Last updated
11/18/2013
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