Organization
HEALTHSOURCE OF LEESBURG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A PASTERNACK (SOLE MEMBER)
(540) 545-7891
Entity
Organization
Contact information
Practice address
609 CEDAR CREEK GRADE STE B, WINCHESTER, VA 22601-2721
(540) 545-7891
(540) 545-7893
Mailing address
609 CEDAR CREEK GRADE STE B, WINCHESTER, VA 22601-2721
(540) 545-7891
(540) 545-7893
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
03/21/2011
Last updated
04/29/2011
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