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Individual

BRENDAN L WATERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2300 OPITZ BLVD, DEPT OF RADIOLOGY, WOODBRIDGE, VA 22191
(703) 607-1561
Mailing address
6 FRANKLIN ST, ALEXANDRIA, VA 22314-3868
(215) 432-3072

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0102201725
VA

Other

Enumeration date
10/26/2005
Last updated
10/14/2013
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