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Individual

DR. ALAN D BROOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6 JUNGERMANN CIR, SUITE 210, SAINT PETERS, MO 63376-1621
(636) 441-6056
(636) 441-0620
Mailing address
11133 DUNN RD, SUITE 2335, SAINT LOUIS, MO 63136-6119
(314) 653-5007
(314) 653-4149

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
103141
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
204014518
MO
Enumeration date
11/03/2005
Last updated
01/04/2010
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