The Spine Group of Virginia P.c.
NPI #1144331034 in Virginia Beach, Virginia
Provider Information
- NPI Number
- 1144331034
- Entity Type
- Organization
- Organization Name
- The Spine Group of Virginia P.c.
- Primary Specialty
- Chiropractor
- Enumeration Date
- Aug 31, 2006
- Last Updated
- Dec 7, 2007
Practice Location
- Address
- 2416 VIRGINIA BEACH BLVD
- City
- Virginia Beach
- State
- Virginia
- ZIP Code
- 23454-3993
- Phone
- (757) 422-2000
Authorized Official
- Name
- DR. SPENCER DANIEL JOHANSEN, D.C.
- Title
- PRESIDENT
- Phone
- (757) 422-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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