Doctor Name: | CHRIS BROOKS |
NPI Number: | 1023072121 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CRNFA |
License Number: | RN078229 |
Business Practice Address: | 1150 W Sherri Dr Gilbert, AZ - 852337944 |
Business Phone Number: | 4806345521 |
Business Fax Number: | 4802489011 |
Mailing Address: | 1150 W Sherri Dr, GILBERT |
State: | AZ |
Postal Code: | 852337944 |
Phone Number: | 4806345521 |
Fax Number: | 4802489011 |
NPI Enumeration Date: | 04/14/2006 |
NPI Last Update Date: | 02/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | RN078229 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |