Organization
BRIAN DENA DO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN M DENA DO (OWNER)
(210) 845-6576
Entity
Organization
Contact information
Practice address
95 MEDICAL PARK BLVD, PETERSBURG, VA 23805-9280
(210) 845-6576
Mailing address
PO BOX 11768, RICHMOND, VA 23230-0168
(804) 353-4000
(804) 213-9783
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0102205373
MEDICAL LICENSE
VA
Enumeration date
06/03/2021
Last updated
08/07/2025
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