Individual
TERRY BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1600 S 20TH AVE, SAFFORD, AZ 85546-4011
(928) 348-4000
Mailing address
3278 W MULLINS LN, THATCHER, AZ 85552-5453
(928) 428-2994
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1432
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197526
—
AZ
Enumeration date
07/24/2006
Last updated
07/08/2007
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