Individual
JOHN MICHAEL BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
180 GREENVILLE AVENUE, CLARION, PA 16214
(814) 226-7651
(814) 226-4051
Mailing address
180 GREENVILLE AVENUE, CLARION, PA 16214
(814) 226-7651
(814) 226-4051
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS003088L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006336770001
—
PA
05
—
0006336770002
—
PA
Enumeration date
06/10/2005
Last updated
02/02/2011
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