Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CORNELIUS PAUL BROOKE, MD
Active Sole ProprietorCORNELIUS PAUL BROOKE, MD is a Dermatology healthcare provider located in IDAHO FALLS, Idaho. NPI 1275504300 is currently active in the NPPES registry. Verify at CMS.
Dermatology · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1275504300
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 27, 2006 (20.55691142157 yrs)
- Last Updated
- Jul 5, 2016
- License
-
5809M (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2001 S WOODRUFF AVESTE 12AIDAHO FALLS, ID, 834046374Browse ID providers · Browse ZIP 83404
- Phone
- 2085228945
- Fax
- 2085225374
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Providers in IDAHO FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| MARK E HINKSON | D.O. | 1538257431 |
| DR. LINDSAY D. SEWELL | M.D. | 1346432226 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.