Individual
VICTOR MILLER BRUGH II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 E BYRD ST, RICHMOND, VA 23219
(804) 697-8407
(804) 697-8005
Mailing address
PO BOX 27622, RICHMOND, VA 23261
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101027294
VA
207Q00000X
Family Medicine Physician
D0058041
MA
207Q00000X
Family Medicine Physician
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5656541
—
VA
Enumeration date
11/28/2006
Last updated
07/08/2007
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