Nova Gonstead Chiropractic Clinic Pllc

NPI #1356602049 in Fairfax, Virginia

Provider Information

NPI Number: 1356602049
Entity Type: Organization
Organization Name: Nova Gonstead Chiropractic Clinic Pllc
Primary Specialty: Chiropractor
Enumeration Date: May 30, 2012
Last Updated: Oct 12, 2016

Practice Location

Address: 9514 LEE HWY
Address 2: SUITE B
City: Fairfax
State: Virginia
ZIP Code: 22031-2303
Phone: (703) 359-6262

Authorized Official

Name: DR. MIN KOO KANG, D.C.
Title: DIRECTOR
Phone: (703) 638-3794

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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