Organization
DR. S. A. BROOKS, DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHRON BROOKS DPM (SOLE PODIATRIST)
(618) 293-1785
Entity
Organization
Contact information
Practice address
6464 W MAIN ST, SUITE 7A, BELLEVILLE, IL 62223-3811
(618) 293-1785
Mailing address
6464 W MAIN ST, SUITE 7A, BELLEVILLE, IL 62223-3811
(618) 293-1785
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
016004697
IL
Other
Enumeration date
03/11/2014
Last updated
03/11/2014
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