Individual
MR. STEPHEN DOUGLAS BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1701 LACEY ST, CAPE GIRARDEAU, MO 63701-5230
(573) 334-4822
Mailing address
162 DAVID DR, JACKSON, MO 63755-7780
(573) 243-6638
(573) 243-6214
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
068782
MO
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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