Individual
CHARLES CHRISTOPHER BROOKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7747 W DEER VALLEY RD, STE 250, PEORIA, AZ 85382-2124
(623) 234-2447
(623) 234-2467
Mailing address
4531 N 16TH ST, STE 114, PHOENIX, AZ 85016-5344
(602) 274-0078
(602) 266-4477
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
05667
AZ
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
005667
AZ
208M00000X
Hospitalist Physician
05667
AZ
Other
Enumeration date
07/07/2009
Last updated
09/30/2020
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