Individual provider · Type 1 NPI
Brian Derner
Foot & Ankle Surgery Podiatrist · Burke, VA
NPI number
1265941876
Active
Practice location
6455 Lake Meadow Dr
Burke, VA 22015-3935
Fax (703) 930-5105
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 1000 (AZ) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | E5878 (CA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
Other foot & ankle surgery podiatrist providers in Burke
About NPI 1265941876
Brian Derner's National Provider Identifier is 1265941876, issued on Sep 26, 2017. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Burke, VA. The record was last updated on Sep 12, 2022.