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Individual

DR. PETER ALEXANDER BRYCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2296 OPITZ BLVD, SUITE #250, WOODBRIDGE, VA 22191-3300
(703) 680-5714
(703) 680-1014
Mailing address
2296 OPITZ BLVD, SUITE #250, WOODBRIDGE, VA 22191-3300
(703) 680-5714
(703) 680-1014

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
28008
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0004081870
AETNA
VA
05
006202985
VA
01
03050001
CAREFIRST
VA
01
06159
ANTHEM
01
285238
AMERIGROUP
VA
01
28817
ALLIANCE
01
493374
NCPPO
01
521123277
CIGNA
Enumeration date
12/15/2006
Last updated
02/12/2009
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