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Individual
MARC PHILIP BREIDENBAUGH
Active
Individual
MARC PHILIP BREIDENBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
0101274577
VA
208000000X
Pediatrics Physician
0101274577
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101274577
VA LICENSE
VA
Enumeration date
03/24/2019
Last updated
09/01/2026
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