Individual
SALLY L BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11100 SPRINGFIELD PIKE, UNIVERSITY FAMILY PHYSICIANS-MAPL, CINCINNATI, OH 45246-4112
(513) 782-2448
(513) 584-2809
Mailing address
2830 VICTORY PKWY STE 120, CINCINNATI, OH 45206-1786
(513) 245-3052
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
35.058586
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0837205
—
OH
Enumeration date
01/12/2006
Last updated
07/12/2007
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