Individual
MR. DANIEL RAY BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.PED
Contact information
Practice address
6052 S SHERIDAN RD, TULSA, OK 74145-9212
(918) 488-0400
(918) 488-8282
Mailing address
6052 S SHERIDAN RD, TULSA, OK 74145-9212
(918) 488-0400
(918) 488-8282
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
LPED122
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CPED3358
AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS & PEDORTHICS
OK
Enumeration date
06/24/2010
Last updated
04/27/2012
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