Individual
DR. STEPHEN DAVID AMBROSE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
9778 GAYTON RD, RICHMOND, VA 23238-4907
(804) 750-2400
(804) 750-1865
Mailing address
9778 GAYTON RD, RICHMOND, VA 23238-4907
(804) 750-2400
(804) 750-1865
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001463
VA
Other
Enumeration date
08/11/2005
Last updated
07/08/2007
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