Individual
WILLIAM J. BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3823 - 172ND ST NE, ARLINGTON, WA 98223
(360) 657-8700
(360) 657-8720
Mailing address
1400 E KINCAID ST, ATTN: CREDENTIALING, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA03292
TX
363AM0700X
Medical Physician Assistant
PA100003054
WA
363AM0700X
Medical Physician Assistant
Primary
PA10003054
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
263802
LABOR & INDUSTRIES
WA
Enumeration date
07/11/2007
Last updated
02/19/2015
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