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NPI Code Detail

MEDICARE: DR. ROBERT C PY D.C.

MEDICARE: DR. ROBERT C PY D.C.
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
1111N00000XChiropractor0104001667VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1178395OTHERVAANTHEM BC

General Provider Information

NPI Number : 1790802361
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT C PY D.C.
Provider Business Mailing Address
First Line : 5777 PRINCESS ANNE RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23462-3224
Country : US
Telephone Number : 757-490-9717
Fax Number : 757-490-9714
Provider Business Practice Location Address
First Line : 5777 PRINCESS ANNE RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23462-3224
Country : US
Telephone Number : 757-490-9717
Fax Number : 757-490-9714
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2007
Last Update Date : 02/14/2024

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