Individual
MARECHAL-NEIL BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
930 MAJESTIC AVE, STE. 210, NORFOLK, VA 23504-4055
(757) 627-6038
(757) 627-3868
Mailing address
PO BOX 2554, NORFOLK, VA 23501-2554
(757) 627-6038
(757) 627-3862
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101044736
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006036503
—
VA
01
—
099019
ANTHEM BC/BS
VA
01
—
110034810
MEDICARE/RAILROAD
VA
01
—
15960
SENTARA HEALTH PLAN
VA
01
—
528874
MAMSI
VA
Enumeration date
08/11/2006
Last updated
07/08/2007
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