Johanna M Brooks is a Medical in Surprise, Arizona. Johanna M Brooks practices all healthcare services and medical treatments related to Medical. The NPI Number for Johanna M Brooks is 1700835642. The last update date is 2014-10-28.
Johanna M Brooks's current location address is 14239 West Bell Road, Surprise, Arizona. You can contact this provider via phone number 6238769983 and fax number 6238769984. The mailing address for Johanna M Brooks is 14239 West Bell Road, Surprise, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Johanna M Brooks |
|---|---|
| Address | 14239 West Bell Road, Surprise, Arizona |
| Phone Number | 6238769983 |
| Fax Number | 6238769984 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1700835642 |
|---|---|
| Provider Enumeration Date | 2006-05-08 |
| Last Updated Date | 2014-10-28 |
Provider Mailing Address Detail
| Address | 14239 West Bell Road |
|---|---|
| City | Surprise |
| State | Arizona (AZ) |
| Post Code | 853742469 |
| Phone Number | 6238769983 |
| Fax Number | 6238769984 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 3785 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3785 | AZ | ARIZONA REGULATORY BOARD OF PH |
Post Comment/ Review Below
What is the unique identifier code issued to Johanna M Brooks by the Centers for Medicare & Medicaid Services?
The Johanna M Brooks has been assigned the NPI (National Provider Identifier) 1700835642. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Johanna M Brooks's facilities are situated?
The facilities of Johanna M Brooks are physically located at the following address: 14239 West Bell Road, Surprise, AZ, 853742469.
What is Johanna M Brooks's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Johanna M Brooks is Medical, and the taxonomy code that classifies this field of practice is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1700835642 to Johanna M Brooks?
The Centers for Medicare & Medicaid Services originally issued the 1700835642 to Johanna M Brooks on 2006-05-08.
As of what date were the Johanna M Brooks's details last updated?
The information pertaining to the Johanna M Brooks, including its address, specialty, and other details, was most recently updated on 2014-10-28.