Organization
MARECHAL-NEIL BROOKS,M.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARECHAL-NEIL BROOKS M.D. (PHYSICIAN/OWNER)
(757) 627-6038
Entity
Organization
Contact information
Practice address
930 MAJESTIC AVE, STE.210, NORFOLK, VA 23504-4055
(757) 627-6038
Mailing address
PO BOX 2554, NORFOLK, VA 23501-2554
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101044736
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629089768
—
VA
Enumeration date
09/28/2010
Last updated
09/28/2010
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