Individual
W GREGORY CAPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5220 WILLIAMSON RD NW, ROANOKE, VA 24012
(540) 362-3700
(540) 362-3699
Mailing address
PO BOX 4127, ROANOKE, VA 24015-0127
(540) 981-9394
(540) 344-7154
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
104000293
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136853
ANTHEM
—
01
—
350032543
MEDICARE RAILROAD
—
Enumeration date
01/10/2006
Last updated
06/23/2010
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