Individual
DR. FREDRIC BRUCE GARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8988 FERN PARK DR, BURKE, VA 22015-1635
(703) 978-6061
(703) 978-0291
Mailing address
8988 FERN PARK DR, BURKE, VA 22015-1635
(703) 978-6061
(703) 978-0291
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101017927
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006727352
—
VA
Enumeration date
06/27/2006
Last updated
12/24/2013
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