Individual
DR. CYNTHIA J. BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-2600
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2004024400
MO
208M00000X
Hospitalist Physician
Primary
2004024400
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156351003
—
AR
05
—
208313304
—
MO
01
—
P00196636
RAILROAD MEDICARE
—
Enumeration date
12/04/2006
Last updated
05/08/2017
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