Duane Thomas Brooks O.D.

NPI 1063415065 - Optometrist - 152W00000X

NPI Details
NPI 1063415065
Gender Male
Enumeration Date 05/23/2005
Last Updated 11/28/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
110 CHESTNUT ST
MOUNT SHASTA CA, 96067-2209, US
Phone (530) 926-2033
Fax (530) 926-3722
Business Location
110 CHESTNUT ST
MOUNT SHASTA CA, 96067-2209, US
Phone (530) 926-2033
Fax (530) 926-3722
Toxanomy
Taxonomy Code 152W00000X
License State Nebraska
License Number 777T
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According to our database, Duane Thomas Brooks O.D. NPI is 1063415065, taxonomy code is 152W00000X and license number is 777T, license state is located at Nebraska. Duane Thomas Brooks O.D. physically located at 110 Chestnut St, Mount Shasta CA, 96067-2209. NPI Number Duane Thomas Brooks O.D. has the Individual type.

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1063415065 NPI number is provided on an as is basis without warranty of any kind. 1063415065 is maintained by the National Plan & Provider Enumeration System. The contents of Duane Thomas Brooks O.D. are for informational purposes only.