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Individual

DAVID CIEJEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
14265 MIDLOTHIAN TPKE, MIDLOTHIAN, VA 23113-6560
(804) 464-2323
(804) 464-2313
Mailing address
14265 MIDLOTHIAN TPKE, MIDLOTHIAN, VA 23113-6560

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2306604609
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2306604609
PTA LICENSE
VA
Enumeration date
07/27/2022
Last updated
07/27/2022
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