Individual
DR. BRIAN EGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6845 ELM STREET, SUITE 611, MCLEAN, VA 22101-3822
(703) 956-6880
(703) 893-7336
Mailing address
6845 ELM STREET, SUITE 611, MCLEAN, VA 22101-3822
(703) 956-6880
(703) 893-7336
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101039522
VA
207W00000X
Ophthalmology Physician
D33736
MD
207W00000X
Ophthalmology Physician
MD13798
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164598470
—
VA
Enumeration date
11/28/2006
Last updated
09/05/2008
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