Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | MD471752 | PA |
NPI | 1043698046 |
---|---|
Provider Name | Dr. David Christopher Brooks |
First Address | Plymouth Meeting, PA 19462-1421 |
Second Address | Broomall, PA 19008-3402 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2015 |
Last Update Date | 14/04/2021 |