Brooke Etherington is a Medical in Moab, Utah. Brooke Etherington practices all healthcare services and medical treatments related to Medical. The NPI Number for Brooke Etherington is 1104009737. The last update date is 2007-12-05.
Brooke Etherington's current location address is 255 Williams Way, Moab, Utah. You can contact this provider via phone number 8016336268. The mailing address for Brooke Etherington is 255 Williams Way, Moab, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brooke Etherington |
|---|---|
| Address | 255 Williams Way, Moab, Utah |
| Phone Number | 8016336268 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1104009737 |
|---|---|
| Provider Enumeration Date | 2007-12-05 |
| Last Updated Date | 2007-12-05 |
Provider Mailing Address Detail
| Address | 255 Williams Way |
|---|---|
| City | Moab |
| State | Utah (UT) |
| Post Code | 845322370 |
| Phone Number | 8016336268 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 342203-8906 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique 10-digit identifier code issued to Brooke Etherington by the Centers for Medicare & Medicaid Services?
The Brooke Etherington has been assigned the NPI (National Provider Identifier) 1104009737 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Brooke Etherington?
The Brooke Etherington is situated at 255 Williams Way, in the city of Moab, state of UT, with the zip code 845322370.
What is Brooke Etherington's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Brooke Etherington is Medical, and the corresponding taxonomy classification code for this specialized field is 363Am0700X.
On what date did Brooke Etherington receive its 1104009737 assignment from the Centers for Medicare & Medicaid Services?
The Brooke Etherington was assigned its 1104009737 on 2007-12-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Brooke Etherington, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Brooke Etherington, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-12-05.