Individual
BEVERLY J BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30 W MCCREIGHT AVE, STE 208, SPRINGFIELD, OH 45504-1853
(937) 323-1187
(931) 323-1456
Mailing address
30 W MCCREIGHT AVE, STE 208, SPRINGFIELD, OH 45504-1853
(937) 323-1187
(931) 323-1456
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01040050A
IN
207Q00000X
Family Medicine Physician
Primary
35072026A
OH
Other
Enumeration date
02/05/2010
Last updated
02/02/2017
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