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Individual

DR. DANIEL MATTHEW BRELAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2323 MEMORIAL AVE, SUITE 10, LYNCHBURG, VA 24501-2661
(434) 200-5200
Mailing address
2010 ATHERHOLT RD, LYNCHBURG, VA 24501-1106
(434) 200-5200

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101257096
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0116024830
207Q0000X
VA
01
207QOOOOX
FAMILY MEDICINE
VA
Enumeration date
06/11/2012
Last updated
11/03/2015
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