# BROOK MEDICAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eagle Creek Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053494146
- **Authorized official:** DR. VICKI L WOOLL MD (OWNER)
- **Authorized official phone:** (208) 939-5535

## Contact information

- **Practice address:** 1281 E. IRON EAGLE DR, EAGLE, ID 83616-9117
- **Practice address phone:** (208) 939-5535
- **Practice address fax:** (208) 939-5536
- **Mailing address:** 1281 E. IRON EAGLE DR, EAGLE, ID 83616-9117
- **Mailing address phone:** (208) 939-5535
- **Mailing address fax:** (208) 939-5536

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/23/2006
- **Last updated:** 02/10/2015