Individual
CHARLES DOUGLAS BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35.092843
OH
2085R0202X
Diagnostic Radiology Physician
M7874
TX
2085R0202X
Diagnostic Radiology Physician
MD2010-0147
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35.092843
35.092843
OH
01
—
M7874
TX LIC# M7874
TX
01
—
MD2010-0147
NEW MEXICO
NM
Enumeration date
12/11/2007
Last updated
09/28/2010
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