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Organization
PETER A BRYCE MD PC
Active
Organization
PETER A BRYCE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER ALEXANDER BRYCE MD (PRESIDENT TREASURER)
(703) 680-5714
Entity
Organization
Contact information
Practice address
2296 OPITZ BLVD, SUITE 250, WOODBRIDGE, VA 22191
(703) 680-5714
(703) 690-6832
Mailing address
2296 OPITZ BLVD, SUITE 250, WOODBRIDGE, VA 22191
(703) 680-5714
(703) 690-6832
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
28008
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004081870
AETNA
—
01
—
006159
ANTHEM
—
05
—
006202985
—
VA
01
—
03050001
CAREFIRST
—
01
—
285238
AMERIGROUP
—
01
—
28817
ALLIANCE
—
01
—
493374
NCPPO
—
Enumeration date
12/01/2006
Last updated
09/18/2008
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