Individual
DR. CHARLES J BROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6420 PROSPECT AVE, T303, KANSAS CITY, MO 64132
(816) 333-1919
(816) 361-1930
Mailing address
6420 PROSPECT AVE, T303, KANSAS CITY, MO 64132
(816) 333-1919
(816) 361-1930
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
0418351
KS
207RP1001X
Pulmonary Disease Physician
Primary
R7565
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100195760A
—
KS
05
—
201193208
—
MO
Enumeration date
04/26/2006
Last updated
09/10/2013
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