Duane Thomas Brooks, O.D.

NPI #1063415065 in Mount Shasta, California

Provider Information

NPI Number: 1063415065
Entity Type: Individual
Name: Duane Thomas Brooks, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: May 23, 2005
Last Updated: Nov 28, 2007

Practice Location

Address: 110 CHESTNUT ST
City: Mount Shasta
State: California
ZIP Code: 96067-2209
Phone: (530) 926-2033

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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