Individual
DR. JUSTIN DICKOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
14509 BATTERY RIDGE LN, CENTREVILLE, VA 20120-2882
(571) 926-5081
Mailing address
14509 BATTERY RIDGE LN, CENTREVILLE, VA 20120-2882
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104557684
VA
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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