Individual
DARRELL STEVEN REISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21475 RIDGETOP CIR STE 300, STERLING, VA 20166-8580
(703) 430-4400
(703) 430-4130
Mailing address
224D CORNWALL ST NW STE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101055065
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912095019
—
VA
05
—
30015419120001
—
VA
Enumeration date
10/11/2006
Last updated
10/03/2023
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