Individual
DR. ANDREYA BRIANNE RISSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11601 IRON BRIDGE RD, SUITE 117, CHESTER, VA 23831-1466
(804) 717-5300
(804) 748-7269
Mailing address
11601 IRON BRIDGE RD, SUITE 117, CHESTER, VA 23831-1466
(804) 717-5300
(804) 748-7269
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101248702
VA
207Q00000X
Family Medicine Physician
0116020801
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06695
GROUP PTAN
VA
01
—
C06778
GROUP PTAN
VA
01
—
C09633
GROUP PTAN
VA
Enumeration date
07/30/2008
Last updated
01/30/2012
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