Individual provider · Type 1 NPI
Justin David Vickroy, DC
Chiropractor · San Diego, CA
NPI number
1114105228
Active
Practice location
11650 Iberia Pl Ste 125
San Diego, CA 92128-2454
Fax (858) 798-5239
Mailing address
11848 Bernardo Plaza Ct, Ste. 260
San Diego, CA 92128-2416
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 30738 (CA) |
Chiropractor: 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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About NPI 1114105228
Justin David Vickroy, DC's National Provider Identifier is 1114105228, issued on Jan 31, 2008. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in San Diego, CA. The record was last updated on Aug 4, 2021.