Individual
MR. DAVE BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
3912 MARTIN WAY E STE A, OLYMPIA, WA 98506-5220
(360) 485-2338
Mailing address
7636 RIXIE ST SE, OLYMPIA, WA 98501-5668
(360) 485-2338
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60225476
WA
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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