Individual
DUSTIN COREY BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6744 NW CACHE RD, LAWTON, OK 73505-2702
(580) 536-9355
Mailing address
1832 PARKRIDGE DR, NORMAN, OK 73071-1301
(405) 818-2451
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2731
OK
Other
Enumeration date
12/29/2017
Last updated
12/29/2017
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