Individual
STUART W BRUST
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2323 ATHERHOLT RD, LYNCHBURG, VA 24501
(434) 847-1095
(434) 847-1096
Mailing address
2323 ATHERHOLT RD, LYNCHBURG, VA 24501
(434) 847-1095
(434) 847-1096
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101023792
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
064317
ANTHEM
VA
01
—
276975
SOUTHERN HEALTH
VA
Enumeration date
01/31/2006
Last updated
07/08/2007
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