Individual
DR. DORTHE SOPHIE BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1840 AMHERST ST, WINCHESTER, VA 22601-2808
(540) 536-8750
Mailing address
PO BOX 880, LIMA, OH 45802-0880
(866) 482-5419
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101049223
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730173394
—
VA
05
—
1810075000
—
WV
05
—
790401101
—
MD
01
—
P00185060
RAILROAD MEDICARE
—
Enumeration date
09/09/2005
Last updated
10/24/2018
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