Individual provider · Type 1 NPI
Mitchell Brian Brooks, PA
Medical Physician Assistant · Fort Polk, LA
NPI number
1013003557
Active
Practice location
1585 3rd Street
Fort Polk, LA 71459
Mailing address
9 Katherine Loop
Leesville, LA 71446
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
2 other providers at this address
Other medical physician assistant providers in Fort Polk
- Michael Davidson, PA-CMedical Physician Assistant Fort Polk, LA NPI 1255480018
- Jeffrey D. Olfert, PA-CMedical Physician Assistant Fort Polk, LA NPI 1700657855
- Antqualene Lavette Johnson, PA-CMedical Physician Assistant Fort Polk, LA NPI 1720346943
- Nikki Micshawn Lewis, PAMedical Physician Assistant Fort Polk, LA NPI 1730241167
- Dennis Michael Sosenko, PA-CMedical Physician Assistant Fort Polk, LA NPI 1992765101
About NPI 1013003557
Mitchell Brian Brooks, PA's National Provider Identifier is 1013003557, issued on Oct 4, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Polk, LA. The record was last updated on Jul 8, 2007.