Individual
DR. JAMES P. BRODEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8201 ATLEE RD, STE B, MECHANICSVILLE, VA 23116-1815
(804) 730-5222
(804) 730-5225
Mailing address
1401 JOHNSTON WILLIS DR, STE 1200, RICHMOND, VA 23235-4730
(804) 323-1401
(804) 323-1850
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
0101042708
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5837693
—
VA
Enumeration date
06/24/2005
Last updated
11/17/2010
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