Organization
VITALITY PHYSICAL MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH EARL BROOKS DO (OWNER)
(563) 424-6400
Entity
Organization
Contact information
Practice address
5335 EASTERN AVE STE C, DAVENPORT, IA 52807-2788
(563) 424-6400
Mailing address
5335 EASTERN AVE STE C, DAVENPORT, IA 52807-2788
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
05/24/2023
Last updated
08/22/2023
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