Individual
BRIAN DERNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6455 LAKE MEADOW DR, BURKE, VA 22015-3935
(703) 930-5105
(703) 930-5105
Mailing address
6455 LAKE MEADOW DR, BURKE, VA 22015-3935
(703) 930-5105
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
1000
AZ
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5878
CA
Other
Enumeration date
09/26/2017
Last updated
09/12/2022
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