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1003834078
BRANTLEY P VITEK
MC LEAN, VA
NPI
1003834078
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: VA 0101049670)
Enumeration Date
2006-07-18
Last Update Date
2020-10-22
Business Address
BRANTLEY P VITEK MD
8180 GREENSBORO DR STE 300
MC LEAN, VA 22102-3888
Phone number: 703-810-5217
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Mailing Address
BRANTLEY P VITEK MD
PO BOX 75868
BALTIMORE, MD 21275-5868
Phone number: 703-383-6469
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