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Individual

DR. SCOTT A VANWAGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
10857 W BROAD ST, GLEN ALLEN, VA 23060-3312
(804) 270-3000
(804) 270-3004
Mailing address
10857 W BROAD ST, GLEN ALLEN, VA 23060-3312
(804) 270-3000
(804) 270-3004

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104555873
VA

Other

Enumeration date
08/31/2006
Last updated
09/06/2019
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