Individual
DR. BRIAN NICHOLAS SUDDARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1250 E MARSHALL ST, RICHMOND, VA 23298-5051
(804) 828-9783
Mailing address
PO BOX 980615, RICHMOND, VA 23298-0615
(804) 828-4880
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
0101249247
VA
390200000X
Student in an Organized Health Care Education/Training Program
0116017274
VA
Other
Enumeration date
06/11/2007
Last updated
09/02/2011
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