Individual
LARRY E BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
351 NORTH GREENSBURG STREET, NORTH VERNON, IN 47265
(812) 346-7753
Mailing address
PO BOX 358, NORTH VERNON, IN 47265-0358
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01030932A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100140500
—
IN
01
—
DC3600
RAILROAD GROUP
IN
01
—
P00471276
RAILROAD INDIVIDUAL
IN
Enumeration date
03/08/2006
Last updated
04/10/2009
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