Organization
INFECTIOUS DISEASE SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES W BROOKS JR. MD (PRESIDENT)
(804) 285-1833
Entity
Organization
Contact information
Practice address
7605 FOREST AVE, SUITE 410, RICHMOND, VA 23229-4938
(804) 285-1833
(804) 285-5754
Mailing address
PO BOX 11768, RICHMOND, VA 23230-0168
(804) 672-4835
(804) 213-9783
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06304
GROUP MEDICARE NUMBER
—
Enumeration date
03/21/2006
Last updated
03/18/2010
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