Individual
BRANDEN DEYERLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12706 MCMANUS BLVD, NEWPORT NEWS, VA 23602-4460
(757) 874-2229
Mailing address
12706 MCMANUS BLVD, NEWPORT NEWS, VA 23602-4460
(757) 874-2229
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101269747
VA
Other
Enumeration date
03/22/2016
Last updated
06/29/2020
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