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Individual

HEATHER D BROOKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2955 MARKET ST, SUITE 5, CHRISTIANSBURG, VA 24073-6575
(540) 381-5291
(540) 381-7857
Mailing address
2013 JEFFERSON ST SW, ROANOKE, VA 24014-2419
(540) 982-0237
(540) 982-2719

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
0101253014
VA
207RH0003X
Hematology & Oncology Physician
2011-00278
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1295947992
VA
05
201076102
TX
05
5918062
NC
05
NC1393
SC
Enumeration date
05/04/2007
Last updated
02/18/2013
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