Individual
MR. JEFFREY LINN BROOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
800 CORDOVA ST, ANCHORAGE, AK 99501-3717
(907) 222-7612
Mailing address
PO BOX 1126, MOUNT VERNON, WA 98273-1126
(360) 293-6180
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
501
AK
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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