Individual
ROBERT L BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1896 E BABBIT LANE, SAN LUIS, AZ 85349-1669
(928) 722-6112
(928) 722-6113
Mailing address
PO BOX 1669, SAN LUIS, AZ 85349-1669
(928) 722-6112
(928) 722-6113
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
31171
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
766058
—
AZ
01
—
Z158921
MEDICARE PTAN
AZ
Enumeration date
06/09/2005
Last updated
05/04/2016
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