Individual
BRYAN ARTHUR ENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1625 N GEORGE MASON DR, ARLINGTON, VA 22205-3683
(703) 717-4400
Mailing address
1625 N GEORGE MASON DR, SUITE 425, ARLINGTON, VA 22205-3683
(703) 717-4400
(703) 717-4401
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0116020225
VA
Other
Enumeration date
06/24/2008
Last updated
07/30/2013
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