Dr. Jacob David Brooks, DO
Orthopaedic Surgery in Bangor, ME. Individual provider (NPI-1).
NPI number1720244262
StatusActive
Last updated in NPPESJul 16, 2021
Details
- NPI
- 1720244262
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jacob David Brooks
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 4, 2008
- Certification date
- Jul 16, 2021
- Last updated
- Jul 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | DO2333 | ME | Yes |
Practice location
78 Ridgewood DrBangor, ME 04401-2652
Phone 207-307-8903 · Fax 207-307-8913
Mailing address
78 Ridgewood DrBangor, ME 04401-2652
Phone 207-307-8903 · Fax 207-307-8913
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