MEDICARE: MARIAH A BROOKS

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	171100000X	Acupuncturist		AZ

General Provider Information

NPI Number	:	1366377228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIAH A BROOKS

Provider Business Mailing Address
First Line	:	1051 S DOBSON RD UNIT 136
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85202-3912
Country	:	US
Telephone Number	:	480-295-2522
Fax Number	:

Provider Business Practice Location Address
First Line	:	1051 S DOBSON RD
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85202-3903
Country	:	US
Telephone Number	:	480-295-2522
Fax Number	:

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

Provider Enumeration Date	:	06/15/2026
Last Update Date	:	06/15/2026

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Directions to “ MARIAH A BROOKS ” Practice Location

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