Individual
PROF. BRADLEY RICHARD WARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5249 DUKE ST, SUITE 102, ALEXANDRIA, VA 22304-2926
(703) 823-3660
(703) 823-2210
Mailing address
5249 DUKE ST, SUITE 102, ALEXANDRIA, VA 22304-2926
(703) 823-3660
(703) 823-2210
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101050807
VA
Other
Enumeration date
04/08/2006
Last updated
02/07/2013
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