Individual
BRIAN RICHARD DOEREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
236 CLEARFIELD AVE STE 215, VIRGINIA BEACH, VA 23462-1893
(757) 853-1380
Mailing address
PO BOX 639295 DEPT 93394, CINCINNATI, OH 45263-9295
(248) 266-4200
(855) 618-6655
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101241949
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467453563
—
VA
01
—
A0098315
TEXAS DPS
TX
Enumeration date
08/10/2005
Last updated
04/23/2024
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