Individual
ALBERT DENNIS BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7601 NATURAL BRIDGE RD, STE 102, SAINT LOUIS, MO 63121-4904
(314) 261-4844
(314) 261-2630
Mailing address
7605 NATURAL BRIDGE RD, STE 101, SAINT LOUIS, MO 63121-4922
(314) 261-4844
(314) 261-2630
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R5E25
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202260600
—
MO
01
—
R5E25
STATE MEDICAL LICENSE
MO
Enumeration date
11/21/2006
Last updated
12/19/2014
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