MR. Stephen Russell Brooks, NAVY IDC

NPI #1780334276 in Virginia Beach, Virginia

Provider Information

NPI Number
1780334276
Entity Type
Individual
Name
MR. Stephen Russell Brooks, NAVY IDC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician
Credential
NAVY IDC
Enumeration Date
Mar 27, 2022
Last Updated
Mar 27, 2022

Practice Location

Address
472 POLARIS ST BLDG 586
ZIP Code
23461-1935
Phone
(910) 741-9612

Specialties & Taxonomy Codes

Specialty
Technician

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