DR. Bert Alton Brantley JR., MD

NPI #1366790057 in Davidsonville, Maryland

Provider Information

NPI Number: 1366790057
Entity Type: Individual
Name: DR. Bert Alton Brantley JR., MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Aug 28, 2012
Last Updated: Aug 28, 2012

Practice Location

Address: 2402 FOX CREEK LN
City: Davidsonville
State: Maryland
ZIP Code: 21035-1151
Phone: (202) 368-9285

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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