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General NPI Number Information
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NPI Number | 1487677175
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Entity Type | Individual
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Provider Name | DANIEL C BROOKE M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 10/03/2012
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Provider Practice Location Address
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Address Line | 2600 WILSON ST STE 1
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City | MILES CITY
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State | MT
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Zip | 59301-5094
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Country | US
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Telephone | 406-233-2520
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Fax | 406-233-4062
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Provider Business Mailing Address
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Address Line | 2600 WILSON ST SUITE 1
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City | MILES CITY
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State | MT
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Zip | 59301-5094
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Country | US
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Telephone | 406-233-2520
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Fax | 406-233-4062
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 4617
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License Number State | MT
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