Individual
BRIAN M SHOWALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
595 MARTHA JEFFERSON DR STE 280, CHARLOTTESVILLE, VA 22911
(434) 654-8920
(434) 654-8921
Mailing address
PO BOX 79777, BALTIMORE, MD 21279-0777
(434) 654-7794
(434) 654-8921
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
0101255390
VA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
0101255390
VA
Other
Enumeration date
07/27/2008
Last updated
01/04/2019
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