Organization
BROOK MEDICAL PLLC
Active
Other names
Eagle Creek Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICKI L WOOLL MD (OWNER)
(208) 939-5535
Entity
Organization
Contact information
Practice address
1281 E. IRON EAGLE DR, EAGLE, ID 83616-9117
(208) 939-5535
(208) 939-5536
Mailing address
1281 E. IRON EAGLE DR, EAGLE, ID 83616-9117
(208) 939-5535
(208) 939-5536
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805943000
—
ID
Enumeration date
10/23/2006
Last updated
02/10/2015
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