NPI 1063655140
Gregory S. Brooks, IDMT
Practice location
- Address
- 2355 Faculty Dr Suite 1n207 10th Amds, Usafa, CO 80840
- Phone
- (719) 333-5187
- Mailing address
- 2355 Faculty Drive Suite 1n207 10th Amds, Usafa, CO 80840
Registered specialties
Independent Duty Medical Technicians
Primary
Registry record
- NPI
- 1063655140
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 20 Apr 2009
- Record last updated
- 20 Apr 2009
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.