Cornelius Paul Brooke in Idaho Falls - Dermatology
Cornelius Paul Brooke - NPI 1275504300
Cornelius Paul Brooke is a Dermatology in Idaho Falls, Idaho. Cornelius Paul Brooke practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Cornelius Paul Brooke is 1275504300. The last update date is 2016-07-05.
Cornelius Paul Brooke's current location address is 2001 S Woodruff Ave, Idaho Falls, Idaho. You can contact this provider via phone number 2085228945 and fax number 2085225374. The mailing address for Cornelius Paul Brooke is 2001 S Woodruff Ave, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cornelius Paul Brooke |
|---|---|
| Address | 2001 S Woodruff Ave, Idaho Falls, Idaho |
| Phone Number | 2085228945 |
| Fax Number | 2085225374 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1275504300 |
|---|---|
| Provider Enumeration Date | 2006-01-27 |
| Last Updated Date | 2016-07-05 |
Provider Mailing Address Detail
| Address | 2001 S Woodruff Ave |
|---|---|
| City | Idaho Falls |
| State | Idaho (ID) |
| Post Code | 834046374 |
| Phone Number | 2085228945 |
| Fax Number | 2085225374 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 5809M |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2685200 | ID | -- | |
| 77186 | ID | BLUE CROSS | |
| 58099 | BLUE CROSS |
Post Comment/ Review Below
What is the Cornelius Paul Brooke's 1275504300?
The Cornelius Paul Brooke's NPI (National Provider Identifier) Number is 1275504300. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Cornelius Paul Brooke is geographically located?
The Cornelius Paul Brooke is physically situated at the following location: 2001 S Woodruff Ave, Idaho Falls, ID, 834046374.
What is Cornelius Paul Brooke's specialized field of practice, and what is the corresponding taxonomy classification code?
The Cornelius Paul Brooke's area of specialization is Dermatology, and the corresponding taxonomy code that categorizes this field of practice is 207N00000X.
When did Cornelius Paul Brooke receive its 1275504300 assignment?
The Cornelius Paul Brooke was assigned its 1275504300 on 2006-01-27, which is the date when this unique identifier was issued to the organization.
When was the Cornelius Paul Brooke's information last updated?
The Cornelius Paul Brooke's information was last updated on 2016-07-05.