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Individual

DR. ROBERT ANTHONY BREINER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
5105 BACKLICK RD, UNIT S, ANNANDALE, VA 22003-6005
(703) 941-7770
(703) 941-7771
Mailing address
5105 BACKLICK RD, UNIT S, ANNANDALE, VA 22003-6005
(703) 941-7770
(703) 941-7771

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
0103000805
VA
213ES0131X
Foot Surgery Podiatrist
0103000805
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9301615
VA
Enumeration date
03/09/2006
Last updated
08/16/2010
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