Individual
JUSTIN CLARK BROCKBANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7300 ASHLAKE PKWY STE 200, CHESTERFIELD, VA 23832-2827
(804) 256-8282
(804) 256-8288
Mailing address
7300 ASHLAKE PKWY STE 200, CHESTERFIELD, VA 23832-2827
(804) 256-8282
(804) 256-8288
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
0101243493
VA
2080S0012X
Pediatric Sleep Medicine Physician
Primary
0101243493
VA
Other
Enumeration date
05/22/2007
Last updated
12/12/2025
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