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Individual

BRIAN J MCNERNEY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
2300 S PLEASANT VALLEY RD, WINCHESTER, VA 22601-7006
(540) 667-9688
(540) 667-9623
Mailing address
110 CARNMORE DR, WINCHESTER, VA 22602-6833
(540) 722-6008

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0601000797
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03953
SPECTRA
01
48345
DAVIS/BLUECROSS
Enumeration date
08/16/2005
Last updated
07/08/2007
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