Individual
DR. JEFFREY SCOTT BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
11709 OLD BALLAS RD, SUITE 201, CREVE COEUR, MO 63141-7029
(314) 432-1903
(314) 432-5105
Mailing address
PO BOX 419074, CREVE COEUR, MO 63141-9074
(314) 432-1903
(314) 432-5105
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000366
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300900842
—
MO
Enumeration date
07/31/2006
Last updated
10/26/2007
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