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Individual

DR. LEROY A BAZZARONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC, CCSP

Contact information

Practice address
2557 CHAIN BRIDGE RD, VIENNA, VA 22181-5517
(703) 938-9300
Mailing address
2557 CHAIN BRIDGE RD, VIENNA, VA 22181-5517
(703) 938-9300

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000764
VA

Other

Enumeration date
01/09/2007
Last updated
09/17/2014
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