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Individual

DR. JOSEPH PATRICK BROOKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1055 N CURTIS RD, BOISE, ID 83706
(208) 367-3131
(208) 367-4860
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 367-3131
(208) 367-4860

Taxonomy

Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
2009-00298
NC
2085R0203X
Therapeutic Radiology Physician
Primary
M-11219
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1457323693
VA
05
5912019
NC
Enumeration date
02/02/2006
Last updated
04/25/2013
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