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Individual
BROOKS W BOOKER IV
Active
Individual
BROOKS W BOOKER IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD167654
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11057533
CAQH
OR
05
—
500672815
—
OR
Enumeration date
07/29/2006
Last updated
07/17/2026
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