Individual
DR. PHILIP PETER CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
7025C MANCHESTER BLVD, ALEXANDRIA, VA 22310-3227
(703) 719-7302
(703) 719-9462
Mailing address
7025C MANCHESTER BLVD, ALEXANDRIA, VA 22310-3227
(703) 719-7302
(703) 719-9462
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
0104001006
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026990
ANTHEM
VA
01
—
G884
CAREFIRST BC/BS
VA
Enumeration date
10/17/2006
Last updated
11/30/2007
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