Individual
DR. JUSTIN RYAN BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
11500 LIPSCOMB WAY, WHITE MARSH, MD 21162
(757) 581-1363
Mailing address
11500 LIPSCOMB WAY, WHITE MARSH, MD 21162
(757) 581-1363
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
0101256800
VA
208D00000X
General Practice Physician
Primary
D0078268
MD
Other
Enumeration date
03/23/2013
Last updated
09/07/2022
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