Dr. S. A. Brooks, Dpm

NPI 1154747400 - Clinic/Center - 261QP1100X

NPI Details
NPI 1154747400
Enumeration Date 03/11/2014
Last Updated 03/11/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name SHRON SHRON
Position SOLE PODIATRIST
Phone (618) 293-1785
Fax
Practice Location
6464 W MAIN ST
SUITE 7A
BELLEVILLE IL, 62223-3811, US
Phone (618) 293-1785
Fax
Business Location
6464 W MAIN ST
SUITE 7A
BELLEVILLE IL, 62223-3811, US
Phone (618) 293-1785
Fax
Toxanomy
Taxonomy Code 261QP1100X
License State Illinois
License Number 016004697
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According to our database, Dr. S. A. Brooks, Dpm NPI is 1154747400, taxonomy code is 261QP1100X and license number is 016004697, license state is located at Illinois. Dr. S. A. Brooks, Dpm physically located at 6464 W Main St, Belleville IL, 62223-3811. NPI Number 1033115704 has the healthcare provider type.

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1154747400 NPI number is provided on an as is basis without warranty of any kind. 1154747400 is maintained by the National Plan & Provider Enumeration System. The contents of Dr. S. A. Brooks, Dpm are for informational purposes only.