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Individual

BRIAN B WARREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
600 GRESHAM DR, NORFOLK, VA 23507-1904
(757) 668-3871
Mailing address
134 BUSINESS PARK DR, VIRGINIA BEACH, VA 23462-6523
(757) 473-0055

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5712106
VA
05
5712114
VA
Enumeration date
07/14/2006
Last updated
11/29/2007
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