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Individual

DR. RICHARD ROBERT BROOKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1001 E MARSHALL ST, RICHMOND, VA 23298-5075
(804) 828-9408
(804) 628-0375
Mailing address
PO BOX 980151, RICHMOND, VA 23298-0151
(804) 358-6100
(804) 342-7619

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101032846
VA
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
0101032846
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6793690
VA
Enumeration date
08/30/2006
Last updated
02/15/2013
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