Individual
STEWART T BROOKS
Active
Individual
STEWART T BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA06723
TX
363AS0400X
Surgical Physician Assistant
PA10004055
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0211459
L&I NUMBER
WA
Enumeration date
06/20/2005
Last updated
08/12/2015
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