Organization
DR. S. A. BROOKS, DPM
Active
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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