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NPI Code Detail

MEDICARE: DR. ALFRED L BRASSEL JR. MD

MEDICARE:  DR. ALFRED L BRASSEL JR. MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician0101019808VA

General Provider Information

NPI Number : 1366419921
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALFRED L BRASSEL JR. MD
Provider Business Mailing Address
First Line : 2348 YORK CROSSING DR
Second Line :
City : HAYES
State : VA
Zip : 23072
Country : US
Telephone Number : 804-684-2000
Fax Number : 804-684-2059
Provider Business Practice Location Address
First Line : 2348 YORK CROSSING DR
Second Line :
City : HAYES
State : VA
Zip : 23072
Country : US
Telephone Number : 804-684-2000
Fax Number : 804-684-2059
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2006
Last Update Date : 07/08/2007

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Directions to “ DR. ALFRED L BRASSEL JR. MD” Practice Location

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