NPI 1043200579

Brendan L Waters, DO

Practitioner Diagnostic Radiology Physician Woodbridge, VA

Practice location

Address: 2300 Opitz Blvd Dept of Radiology, Woodbridge, VA 22191
Phone: (703) 607-1561
Mailing address: 6 Franklin St, Alexandria, VA 22314-3868

Registered specialties

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 0102201725 (VA)

Other Radiology providers in Virginia →

Registry record

NPI: 1043200579
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Oct 2005
Record last updated: 14 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.