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Individual

BRENT GERALD FAUSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5801 BREMO ROAD, AMERICAN ANESTHESIOLOGY OF VIRGINIA, PC, RICHMOND, VA 23226-1907
(804) 288-6258
(804) 282-9921
Mailing address
3100 SPRING FOREST ROAD, SUITE 130, RALEIGH, NC 27616-2880
(919) 882-0705
(919) 873-9821

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101038128
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5777763
VA
Enumeration date
10/06/2005
Last updated
02/10/2016
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