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Individual

DR. CLARENCE LINDEN BROOKS II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
4721 JEFFERSON DAVIS HWY, FREDERICKSBURG, VA 22408-4257
(540) 710-7300
(540) 710-7301
Mailing address
4721 JEFFERSON DAVIS HWY, FREDERICKSBURG, VA 22408-4257
(540) 710-7300
(540) 710-7301

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104555792
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
139983
ANTHEM
VA
01
2235537
FIRST HEALTH
VA
01
5543315
CCN NETWORK
VA
01
610542100
OWCP WORKERS COMP
VA
01
669438
ACN GROUP
VA
Enumeration date
05/18/2006
Last updated
09/21/2021
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