Individual
JEFFREY S TANZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1088 VISTA PARK DR, SUITE C, FOREST, VA 24551-2761
(434) 385-1110
(434) 385-1115
Mailing address
1088 VISTA PARK DRIVE, SUITE C, FOREST, VA 24551
(434) 385-1110
(434) 385-1115
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001938
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
287170
ANTHEM
VA
Enumeration date
05/03/2007
Last updated
07/08/2007
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