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Individual
BRUCE KIMBALL BROOKBY
Active
Individual
BRUCE KIMBALL BROOKBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
04-17787
KS
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
34571
MO
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
9947
OK
Other
Enumeration date
07/21/2006
Last updated
07/09/2007
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