Individual
DR. MARTIN WILLIAM BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1451 N GARDNER ST, PHOENIX EMERGENCY SERVICES OF SCOTT COUNTY, LLC, SCOTTSBURG, IN 47170-7751
(812) 752-3456
Mailing address
1451 N GARDNER ST, SCOTTSBURG, IN 47170-7751
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01035157A
IN
207P00000X
Emergency Medicine Physician
24580
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200115880
—
IN
05
—
64127848
—
KY
Enumeration date
06/12/2006
Last updated
07/13/2010
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