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Individual

DR. BRENT OLSON WARNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CH.

Contact information

Practice address
305 ALLEGHENY STREET, RICHLANDS, VA 24641
(276) 963-0395
(276) 964-2225
Mailing address
PO BOX 1045, RICHLANDS, VA 24641
(276) 963-0395
(276) 964-2225

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556270
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
145963
ANTHEM BCBS
VA
01
7880576
AETNA
VA
Enumeration date
03/15/2006
Last updated
12/12/2007
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