Individual
BETHANY BYRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
8700 SUDLEY RD, MANASSAS, VA 20110-4418
(718) 780-5040
Mailing address
4191 JEREMY GRV, FAIRFAX, VA 22030-8557
(267) 535-0816
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0102203777
VA
Other
Enumeration date
06/22/2011
Last updated
09/03/2014
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