Individual
DR. JOSEPH DOE AFOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
532 INDEPENDENCE BLVD, PEMBROKE PARK SHOPPES, VIRGINIA BEACH, VA 23462-2221
(757) 456-5222
(757) 456-2998
Mailing address
532 INDEPENDENCE BLVD, PEMBROKE PARK SHOPPES, VIRGINIA BEACH, VA 23462-2221
(757) 456-5222
(757) 456-2998
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556319
VA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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