Individual
BRANTLEY P VITEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8180 GREENSBORO DR, STE 300, MC LEAN, VA 22102-3888
(703) 810-5217
(703) 810-5423
Mailing address
PO BOX 75868, BALTIMORE, MD 21275-5868
(703) 383-6469
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101049670
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6407251
—
VA
Enumeration date
07/18/2006
Last updated
10/22/2020
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