Doctor Name: | DR. PHILLIP DANIEL BROOKS |
NPI Number: | 1790751022 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 46386-020 |
Business Practice Address: | 650 Joel Dr Blanchfield Army Community Hospital Ft. Campbell, KY - 422235349 |
Business Phone Number: | 2707988372 |
Business Fax Number: | |
Mailing Address: | 650 Joel Dr, Blanchfield Army Community Hospital FT. CAMPBELL |
State: | KY |
Postal Code: | 422235349 |
Phone Number: | 2707988372 |
Fax Number: | |
NPI Enumeration Date: | 02/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 46386-020 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |