| NPI | 1659441814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP DANIEL BROOKS President 757-623-0095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |