DOUGLAS R FONTEYNE

Dr DOUGLAS R FONTEYNE is a male medical professional, specializing in Chiropractic. He graduated in 1996 from Life Chiropractic College - West.

Contact

3756 S AMHERST HWY
SUITE 100
MADISON HEIGHTS
VA
245725960

Tel:

DOUGLAS R FONTEYNE Information

Npi 1659464964
Pac Id 3870660814
Professional Enrollment Id I20080917000559
Last Name FONTEYNE
First Name DOUGLAS
Middle Name R
Suffix
Gender M
Credential
Medical School Name LIFE CHIROPRACTIC COLLEGE - WEST
Graduation Year 1996
Primary Specialty CHIROPRACTIC
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 3756 S AMHERST HWY
Line 2 Street Address SUITE 100
Marker Of Address Line 2 Suppression
City MADISON HEIGHTS
State VA
Zip Code 245725960
Phone Number
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Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
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Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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