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1306977194
BRIAN A FEDORCHAK
ROANOKE, VA
NPI
1306977194
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: VA 0024168517)
Enumeration Date
2007-03-07
Last Update Date
2019-01-29
Business Address
BRIAN A FEDORCHAK CRNA
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Phone number: 540-853-0222
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Mailing Address
BRIAN A FEDORCHAK CRNA
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014-1838
Phone number: 540-853-0222
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