Individual
DR. BROOKE M DIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
305 SOUTH DR, 6, MOUNTAIN VIEW, CA 94040-4200
(650) 215-8722
(650) 964-0720
Mailing address
305 SOUTH DR, 6, MOUNTAIN VIEW, CA 94040-4200
(650) 215-8722
(650) 964-0720
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
E5088
CA
213EP0504X
Public Medicine Podiatrist
E5088
CA
213EP1101X
Primary Podiatric Medicine Podiatrist
E5088
CA
213ER0200X
Radiology Podiatrist
E5088
CA
213ES0000X
Sports Medicine Podiatrist
E5088
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5088
CA
213ES0131X
Foot Surgery Podiatrist
E5088
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E-5088
LICENSE
CA
Enumeration date
07/19/2012
Last updated
07/15/2016
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