Individual
DR. STEWART IAN GILLESPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5101 MONTGOMERY ST, ANNANDALE, VA 22003-6129
(704) 773-6076
Mailing address
5101 MONTGOMERY ST, ANNANDALE, VA 22003-6129
(704) 773-6076
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556447
VA
Other
Enumeration date
12/01/2009
Last updated
12/01/2009
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