# BELLA BY BROOKS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942877808
- **Authorized official:** DONALD BROOKS DO (OWNER)
- **Authorized official phone:** (478) 972-9029

## Contact information

- **Practice address:** 2403 N BROADWAY ST STE D, POTEAU, OK 74953-2014
- **Practice address phone:** (918) 647-3599
- **Mailing address:** 2403 N BROADWAY ST STE D, POTEAU, OK 74953-2014
- **Mailing address phone:** (918) 647-3599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 06/09/2021
- **Last updated:** 06/09/2021