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Individual

MR. GREGORY S. BROOKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
IDMT

Contact information

Practice address
2355 FACULTY DR SUITE 1N207, 10TH AMDS, USAFA, CO 80840
(719) 333-5187
Mailing address
2355 FACULTY DRIVE SUITE 1N207, 10TH AMDS, USAFA, CO 80840
(719) 333-5187

Taxonomy

Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary

Other

Enumeration date
04/20/2009
Last updated
04/20/2009
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