MEDICARE: DR. JOSEPH A.D. BROOKS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	33066	AZ

General Provider Information

NPI Number	:	1083642813
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH A.D. BROOKS M.D.

Provider Business Mailing Address
First Line	:	300 W CLARENDON AVE STE 100
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85013-3421
Country	:	US
Telephone Number	:	602-265-1112
Fax Number	:	602-264-4101

Provider Business Practice Location Address
First Line	:	300 W CLARENDON AVE STE 100
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85013-3421
Country	:	US
Telephone Number	:	602-265-1112
Fax Number	:	602-264-4101

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2006
Last Update Date	:	08/05/2024

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