Brendan L Waters DO

NPI 1043200579 - Radiology - 2085R0202X

NPI Details
NPI 1043200579
Gender Male
Enumeration Date 10/26/2005
Last Updated 10/14/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
2300 OPITZ BLVD
DEPT OF RADIOLOGY
WOODBRIDGE VA, 22191, US
Phone (703) 607-1561
Fax
Business Location
6 FRANKLIN ST
ALEXANDRIA VA, 22314-3868, US
Phone (215) 432-3072
Fax
Toxanomy
Taxonomy Code 2085R0202X
License State Virginia
License Number 0102201725
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According to our database, Brendan L Waters DO NPI is 1043200579, taxonomy code is 2085R0202X and license number is 0102201725, license state is located at Virginia. Brendan L Waters DO physically located at 2300 Opitz Blvd, Woodbridge VA, 22191. NPI Number Brendan L Waters DO has the Individual type.

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1043200579 NPI number is provided on an as is basis without warranty of any kind. 1043200579 is maintained by the National Plan & Provider Enumeration System. The contents of Brendan L Waters DO are for informational purposes only.