Whalio Doctors

NPI 1013003557

Mitchell Brian Brooks, PA

Practitioner Medical Physician Assistant Ft Polk, LA

Practice location

Address
1585 3rd Street, Ft Polk, LA 71459
Phone
(337) 531-3919
Mailing address
9 Katherine Loop, Leesville, LA 71446

Registered specialties

Medical Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X

Registry record

NPI
1013003557
Entity type
Individual
Sex (as registered)
Male
NPI issued
4 Oct 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.