Organization
INTEGRATED NEUROLOGY PC
Active
Other names
Ashcroft Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK R WOODBURY DC (PRESIDENT)
(802) 775-4372
Entity
Organization
Contact information
Practice address
279 BUSINESS ROUTE 4, SUITE 1, CENTER RUTLAND, VT 05736-9731
(802) 775-4372
(802) 775-4918
Mailing address
279 BUSINESS ROUTE 4, SUITE 1, CENTER RUTLAND, VT 05736-9731
(802) 775-4372
(802) 775-4918
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
INTE00059811
BCBS
VT
Enumeration date
10/04/2006
Last updated
08/22/2020
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