MEDICARE: DONALD C DILLON DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	0104555695	VA

General Provider Information

NPI Number	:	1760701825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONALD C DILLON DC

Provider Business Mailing Address
First Line	:	3606 FOREST DR
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22302-1005
Country	:	US
Telephone Number	:	703-820-7520
Fax Number	:	703-820-9570

Provider Business Practice Location Address
First Line	:	3606 FOREST DR
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22302-1005
Country	:	US
Telephone Number	:	703-820-7520
Fax Number	:	703-820-9570

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2010
Last Update Date	:	05/27/2010

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Directions to “ DONALD C DILLON DC” Practice Location

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