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Individual

DR. BRIAN GERARD NICHOLS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
45 PINE RD., 1ST MEDICAL GROUP, LANGLEY AFB, VA 23665-2080
(757) 764-6975
(757) 764-6970
Mailing address
10 OAKLAND DR, NEWPORT NEWS, VA 23601-3623
(757) 534-7908
(757) 764-6970

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2939
MA

Other

Enumeration date
12/22/2005
Last updated
07/08/2007
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