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Stephane Provencher, DC
Chiropractor in Gainesville, Virginia
NPI 1376729376

Stephane Provencher is a Chiropractor based in Gainesville, VA. Stephane Provencher practices in Gainesville, VA and has the professional credentials of DC. The NPI Number for Stephane Provencher is 1376729376 and holds a License No. 2008001511 (Virginia).

The current practice location address for Stephane Provencher is 8006 Crescent Park Dr, Gainesville, VA and can be reached out via phone at 571-248-0695 and via fax at 571-248-0964.

Location: 8006 Crescent Park Dr, Gainesville, VA, 20155-3444
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376729376
Provider Name
Stephane Provencher
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
8006 Crescent Park Dr, Gainesville, VA, 20155-3444
Phone Number
571-248-0695
Fax Number
571-248-0964
Provider Enumeration Date
01/21/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8006 Crescent Park Dr
City
Gainesville
State
Virginia
Zip
20155
Phone Number
571-248-0695
Fax Number
571-248-0964
person
Provider Business Mailing Address Details
Address
8006 Crescent Park Dr
City
Gainesville
State
Virginia
Zip
20155
Phone Number
571-248-0695
Fax Number
571-248-0964
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
2008001511 (Missouri)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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