NPI 1013003557
Mitchell Brian Brooks, PA
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
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.