Individual
MR. BRANDON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5486 INDIAN RIVER RD, VIRGINIA BEACH, VA 23464-5365
(757) 424-2490
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 822-4355
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-007726
VA
Other
Enumeration date
02/11/2021
Last updated
02/17/2022
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