Individual
MR. CORDELL BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
PO BOX 247224, COLUMBUS, OH 43224-7224
(614) 203-3716
Mailing address
PO BOX 247224, COLUMBUS, OH 43224-7224
(614) 203-3716
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
05/17/2024
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