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Organization

SCOTT DAVID BROOK MD INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SCOTT DAVID BROOK M.D. (PRESIDENT)
(714) 619-5450
Entity
Organization

Contact information

Practice address
1180 N INDIAN CANYON DR, SUITE E-218, PALM SPRINGS, CA 92262-4800
(714) 619-5450
(714) 505-7540
Mailing address
1180 N INDIAN CANYON DR, SUITE E-218, PALM SPRINGS, CA 92262-4800
(714) 619-5450
(714) 505-7540

Taxonomy

Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A116376
MEDICAL LICSENSE
Enumeration date
07/18/2011
Last updated
07/18/2011
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