Individual provider · NPI-1

Drew Brooks, MD

General Practice · Lebanon, NH

NPI number1467155523
StatusActive
Last updated in NPPESNov 5, 2024

Details

NPI
1467155523
Entity type
Individual (NPI-1)
Name
Drew Brooks
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Mar 27, 2023
Certification date
Nov 5, 2024
Last updated
Nov 5, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208D00000X General Practice333474-01NYYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

1 Medical Center Dr
Lebanon, NH 03756-1000

Phone 603-650-5000

Mailing address

4055 Valley View Ln
Dallas, TX 75244-5074

Phone 855-984-5121

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