Individual
DR. CLAUDETTE E BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 STADIUM DRIVE, MORGANTOWN, WV 26506
(304) 598-4800
Mailing address
PO BOX 897, MORGANTOWN, WV 26507-0897
(304) 293-7401
(304) 293-6963
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
20001
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1807754000
—
WV
01
—
CA7030
RAILROAD MEDICARE GROUP #
WV
01
—
P00621858
RAILROAD MEDICARE
WV
Enumeration date
09/27/2006
Last updated
12/08/2008
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