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Individual

MARLON BROOKS

Active
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Individual

MARLON BROOKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
G71729
CA
207VX0000X
Obstetrics Physician
G71729
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G717291
CA
Enumeration date
06/28/2006
Last updated
11/14/2014
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