Individual
DR. DUANE H CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
121 GRAFTON STATION LN, SUITEG, YORKTOWN, VA 23692-4776
(757) 989-5393
(757) 989-0551
Mailing address
121 GRAFTON STATION LN, SUITE G, YORKTOWN, VA 23692-4776
(757) 989-5393
(757) 989-0551
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001296
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
331889
BCBS GROUP NUMBER
VA
01
—
331890
BCBS PIN
VA
Enumeration date
05/19/2006
Last updated
07/09/2007
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