Organization
PETER M DADDIO DC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER M DADDIO DC (OWNER)
(540) 338-0005
Entity
Organization
Contact information
Practice address
17337 PICKWICK DR STE B, PURCELLVILLE, VA 20132-6176
(540) 338-0005
(540) 338-0966
Mailing address
17337 PICKWICK DR STE B, PURCELLVILLE, VA 20132-6176
(540) 338-0005
(540) 338-0966
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001146
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C09487
MEDICARE GROUP NUMBER
VA
Enumeration date
06/05/2008
Last updated
06/05/2008
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