Individual
BRANDON BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
46169 WESTLAKE DR STE 300, STERLING, VA 20165-5875
(703) 421-2990
(703) 421-2822
Mailing address
46169 WESTLAKE DR STE 300, STERLING, VA 20165-5875
(703) 421-2990
(703) 421-2822
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104557585
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0104557585
STATE LICENSE
VA
Enumeration date
06/26/2019
Last updated
06/26/2019
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