Individual
DR. GRAIL LEE BROOKSHIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7160 RAFAEL RIVERA WAY STE 210, LAS VEGAS, NV 89113-5395
(702) 878-0070
(702) 805-0307
Mailing address
PO BOX 840857, DALLAS, TX 75284-0857
(702) 878-0070
(702) 805-0307
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5660
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002002394
—
NV
05
—
407496
—
AZ
Enumeration date
11/17/2005
Last updated
05/20/2024
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