Individual
BRYAN WALLACE MCEACHERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.A.P.
Contact information
Practice address
9001 DIGGES RD, SUITE 106, MANASSAS, VA 20110-4421
(703) 392-5437
(703) 392-0176
Mailing address
9001 DIGGES RD, SUITE 106, MANASSAS, VA 20110-4421
(703) 392-5437
(703) 392-0176
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101051497
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006724264
—
VA
Enumeration date
03/10/2006
Last updated
01/18/2011
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