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Individual

DR. DUSTIN COLT BRISCOE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
14465 POTOMAC MILLS RD, WOODBRIDGE, VA 22192-6807
(703) 494-6184
(703) 499-9744
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618003275
VA
152W00000X
Optometrist
3186
TN
152W00000X
Optometrist
4901005020
MI
152W00000X
Optometrist
NA2947
MD
152W00000X
Optometrist
OEG004046
PA

Other

Enumeration date
07/16/2015
Last updated
11/16/2023
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