| Brook Run Family Physicians | |
|
10571 Telegraph Rd Suite 130 Glen Allen VA 23059 | |
| (804) 266-7611 | |
| (804) 262-9249 |
| Full Name | Brook Run Family Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 10571 Telegraph Rd, Glen Allen, Virginia |
| Authorized Official Name and Position | Stephan Quiriconi (CFO) |
| Authorized Official Contact | 8042818301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brook Run Family Physicians 8580 Magellan Pkwy Richmond VA 23227-1149 Ph: () - | Brook Run Family Physicians 10571 Telegraph Rd Suite 130 Glen Allen VA 23059 Ph: (804) 266-7611 |
| NPI Number | 1588697148 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 08/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588697148 | NPI | - | NPPES |
| CB2823 | Other | VA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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